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General NPI Number Information
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NPI Number | 1487647111
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Entity Type | Individual
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Provider Name | LAWRENCE JOSEPH DOWNS D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 08/29/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | JEFFERSON METROCARE HEALTH CENTER 2101 DANIEL PAYNE DRIVE
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City | BIRMINGHAM
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State | AL
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Zip | 35214-0000
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Country | US
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Telephone | 205-791-4718
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Fax |
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Provider Business Mailing Address
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Address Line | JEFFERSON HEALTH SYSTEM 1515 6TH AVENUE SOUTH
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City | BIRMINGHAM
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State | AL
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Zip | 35233-0000
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Country | US
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Telephone | 205-791-4718
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | POD 000347
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License Number State | GA
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