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General NPI Number Information
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NPI Number | 1578794913
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Entity Type | Individual
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Provider Name | ERIC LAWRENCE ST.PIERRE DC, DACBSP, CSCS
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Gender | Male
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Dates
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Enumeration Date | 08/03/2009
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Last Update Date | 11/27/2011
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Provider Practice Location Address
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Address Line | 380 EMPIRE RD SUITE # 101
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City | LAFAYETTE
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State | CO
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Zip | 80026-2677
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Country | US
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Telephone | 303-605-2660
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Fax |
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Provider Business Mailing Address
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Address Line | 1434 RED MOUNTAIN DR
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City | LONGMONT
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State | CO
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Zip | 80501-8797
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Country | US
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Telephone | 818-325-5790
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Fax |
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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 | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 6390
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 30673
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License Number State | CA
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