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General NPI Number Information
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NPI Number | 1730502253
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Entity Type | Organization
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Legal Business Name | LAWRENCE F. PEARSON, M.D.
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Dates
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Enumeration Date | 02/04/2014
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Last Update Date | 02/04/2014
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Provider Practice Location Address
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Address Line | 113 S VINE ST SUITE A
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City | FALLBROOK
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State | CA
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Zip | 92028-2925
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Country | US
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Telephone | 760-723-2313
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Fax | 760-723-0333
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Provider Business Mailing Address
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Address Line | 113 S VINE ST SUITE A
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City | FALLBROOK
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State | CA
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Zip | 92028-2925
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Country | US
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Telephone | 760-723-2313
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Fax | 760-723-0333
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Authorized Official
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Title or Position | OWNER
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Name | DR. LAWRENCE F PEARSON
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Credential | M.D.
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Telephone | 760-723-2313
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | G37412
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License Number State | CA
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