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General NPI Number Information
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NPI Number | 1538515846
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Entity Type | Organization
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Legal Business Name | LAWRENCE ALAN WHALEY PLLC
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Dates
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Enumeration Date | 05/05/2016
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Last Update Date | 06/23/2016
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Provider Practice Location Address
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Address Line | 804 S CROWLEY RD STE 12
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City | CROWLEY
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State | TX
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Zip | 76036-3665
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Country | US
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Telephone | 817-888-8975
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Fax | 817-888-8975
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Provider Business Mailing Address
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Address Line | 213 W COUNTY ROAD 714
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City | BURLESON
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State | TX
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Zip | 76028-6747
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Country | US
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Telephone | 817-228-5837
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Fax |
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Authorized Official
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Title or Position | OWNER/PRIMARY PHYSICIAN
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Name | DR. LAWRENCE ALAN WHALEY
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Credential | M.D.
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Telephone | 817-228-5837
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | TXK2627
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License Number State | TX
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