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General NPI Number Information
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NPI Number | 1588718415
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Entity Type | Individual
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Provider Name | LAWRENCE EDWARD SCHWANKE D.C.
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Gender | Male
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 02/09/2011
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Provider Practice Location Address
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Address Line | 3910 S PINE AVE STE C
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City | OCALA
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State | FL
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Zip | 34480-4931
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Country | US
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Telephone | 352-369-9868
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Fax | 352-369-0168
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Provider Business Mailing Address
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Address Line | PO BOX 1385
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City | BELLEVIEW
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State | FL
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Zip | 34421-1385
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Country | US
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Telephone | 352-369-9868
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Fax | 352-369-0168
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH7862
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License Number State | FL
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