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General NPI Number Information
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NPI Number | 1770034712
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Entity Type | Individual
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Provider Name | NATHLYN LAWRENCE
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Gender | Female
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Dates
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Enumeration Date | 10/14/2016
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Last Update Date | 03/11/2019
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Provider Practice Location Address
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Address Line | 11411 NW 56TH DR
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City | CORAL SPRINGS
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State | FL
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Zip | 33076
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Country | US
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Telephone | 954-752-7571
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Fax |
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Provider Business Mailing Address
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Address Line | 1321 MURFREESBORO PIKE STE 702
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City | NASHVILLE
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State | TN
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Zip | 37217-2679
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Country | US
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Telephone | 844-359-7629
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Fax | 615-577-5654
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-17-35451
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License Number State | FL
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