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General NPI Number Information
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NPI Number | 1659380426
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Entity Type | Individual
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Provider Name | SANDRA K LAWRENCE MD
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Gender | Female
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 07/27/2010
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Provider Practice Location Address
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Address Line | 9313 MEDICAL PLAZA DRIVE STE 302
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City | CHARLESTON
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State | SC
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Zip | 29406-9197
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Country | US
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Telephone | 800-922-0346
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2630
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City | SUMMERVILLE
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State | SC
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Zip | 29484-2630
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Country | US
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Telephone | 800-922-0346
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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 | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number | ME18830
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 2085N0904X
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Taxonomy Name | Nuclear Radiology Physician
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License Number | ME18830
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 2085P0229X
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Taxonomy Name | Pediatric Radiology Physician
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License Number | ME18830
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME18830
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License Number State | SC
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Taxonomy #5
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | ME18830
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License Number State | SC
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Taxonomy #6
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number | ME18830
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License Number State | SC
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