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General NPI Number Information
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NPI Number | 1518199744
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Entity Type | Organization
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Legal Business Name | LAWRENCE MEDICAL CENTER
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Dates
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Enumeration Date | 08/21/2009
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Last Update Date | 08/21/2009
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Provider Practice Location Address
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Address Line | 1275 W 47TH PL # 443
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City | HIALEAH
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State | FL
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Zip | 33012-3394
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Country | US
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Telephone | 305-392-0301
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Fax | 305-392-0302
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Provider Business Mailing Address
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Address Line | 1275 W 47TH PL # 443
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City | HIALEAH
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State | FL
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Zip | 33012-3394
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Country | US
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Telephone | 305-392-0301
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Fax | 305-392-0302
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Authorized Official
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Title or Position | OWNER
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Name | LAWRENCE ERICK SCHECHTMANN
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Credential | DC
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Telephone | 305-392-0301
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | MM23447
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License Number State | FL
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