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General NPI Number Information
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NPI Number | 1497260806
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Entity Type | Organization
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Legal Business Name | LAWRENCE MEDICAL ASSOCIATES, PC
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Dates
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Enumeration Date | 12/07/2017
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Last Update Date | 12/07/2017
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Provider Practice Location Address
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Address Line | 55 PALMER AVENUE DEPARTMENT OF EMERGENCY MEDICINE
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City | BRONXVILLE
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State | NY
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Zip | 10708-3403
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Country | US
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Telephone | 914-787-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 55 PALMER AVENUE DEPARTMENT OF EMERGENCY MEDICINE
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City | BRONXVILLE
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State | NY
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Zip | 10708-3403
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | QUALITY MANAGER
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Name | REBECCA BERTOLINE
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Credential |
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Telephone | 914-739-0087
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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