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NPI 1578585626

NPI 1578585626 : MARK E. LAWRENCE MD : FRANKLIN, NC

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General NPI Number Information
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    NPI Number           |    1578585626
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    Entity Type          |    Individual 
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    Provider Name        |    MARK E. LAWRENCE MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/24/2006
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    Last Update Date     |    10/14/2016
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Provider Practice Location Address
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    Address Line         |    102 THOMAS HEIGHTS RD 
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    City                 |    FRANKLIN
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    State                |    NC
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    Zip                  |    28734-9799
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    Country              |    US
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    Telephone            |    828-631-3973
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    Fax                  |    828-631-9280
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Provider Business Mailing Address
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    Address Line         |    PO BOX 2187 
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    City                 |    SYLVA
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    State                |    NC
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    Zip                  |    28779-2187
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    Country              |    US
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    Telephone            |    828-631-3973
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    Fax                  |    828-631-9280
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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        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    12241
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    28252
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    License Number State |    NC
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