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General NPI Number Information
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NPI Number | 1689862211
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Entity Type | Organization
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Legal Business Name | D S LAWRENCE DC, PC
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Dates
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Enumeration Date | 10/09/2007
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Last Update Date | 04/01/2008
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Provider Practice Location Address
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Address Line | 3534 E 51ST ST
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City | TULSA
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State | OK
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Zip | 74135-3518
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Country | US
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Telephone | 918-504-4182
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Fax |
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Provider Business Mailing Address
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Address Line | 8711 S HARVARD
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City | TULSA
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State | OK
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Zip | 74137-1734
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SCOTTIE RAE LAWRENCE
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Credential | DC
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Telephone | 918-398-8513
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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 | 3840
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3839
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License Number State | OK
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