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NPI 1760884407

NPI 1760884407 : JANCIE WEBB LAWRENCE NP-C : WATERTOWN, MA

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General NPI Number Information
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    NPI Number           |    1760884407
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    Entity Type          |    Individual 
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    Provider Name        |    JANCIE WEBB LAWRENCE NP-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/25/2014
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    Last Update Date     |    02/06/2025
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Provider Practice Location Address
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    Address Line         |    260 ARSENAL PL 
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    City                 |    WATERTOWN
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    State                |    MA
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    Zip                  |    02472-3171
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    Country              |    US
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    Telephone            |    888-897-1887
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    Fax                  |    857-343-8192
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Provider Business Mailing Address
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    Address Line         |    PO BOX 211639 
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    City                 |    EAGAN
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    State                |    MN
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    Zip                  |    55121-3639
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    Country              |    US
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    Telephone            |    888-897-1887
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    Fax                  |    857-343-8192
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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        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    5007229
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    1006450
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    License Number State |    TX
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Taxonomy #3
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    RN2364574
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    License Number State |    MA
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Taxonomy #4
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    209025375
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    License Number State |    IL
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Taxonomy #5
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    95017062
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    License Number State |    CA
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Taxonomy #6
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    346865
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    License Number State |    NY
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