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General NPI Number Information
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NPI Number | 1497923577
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Entity Type | Individual
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Provider Name | KIMBERLEY L LAWRENCE M.S., LPE-I
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Gender | Female
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Dates
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Enumeration Date | 02/12/2008
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Last Update Date | 02/17/2025
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Provider Practice Location Address
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Address Line | 7512 HIGHWAY 107
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City | SHERWOOD
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State | AR
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Zip | 72120-4645
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Country | US
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Telephone | 501-992-6467
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Fax | 501-214-6871
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Provider Business Mailing Address
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Address Line | PO BOX 6138
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City | SHERWOOD
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State | AR
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Zip | 72124-6138
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Country | US
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Telephone | 501-992-6467
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Fax | 501-214-6871
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 09-09EI
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License Number State | AR
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