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General NPI Number Information
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NPI Number | 1669804613
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Entity Type | Organization
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Legal Business Name | IPM INSTITUTE, INC.
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Dates
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Enumeration Date | 08/01/2013
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Last Update Date | 07/30/2014
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Provider Practice Location Address
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Address Line | 1215 BAYSHORE GARDENS PKWY
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City | BRADENTON
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State | FL
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Zip | 34207-4857
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Country | US
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Telephone | 941-243-3887
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Fax | 941-243-3887
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Provider Business Mailing Address
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Address Line | 1215 BAYSHORE GARDENS PKWY
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City | BRADENTON
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State | FL
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Zip | 34207-4857
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Country | US
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Telephone | 941-251-5930
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Fax | 941-251-5931
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Authorized Official
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Title or Position | OWNER
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Name | DR. HAROLD J LAWLER III
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Credential | MD
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Telephone | 941-251-5930
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME59641
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License Number State | FL
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