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General NPI Number Information
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NPI Number | 1770660086
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Entity Type | Individual
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Provider Name | DREW JAMES LAWRENCE DC
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Gender | Male
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7875 E FLORENTINE RD STE C
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City | PRESCOTT VALLEY
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State | AZ
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Zip | 86314-2284
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Country | US
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Telephone | 928-759-9947
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 25708
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City | PRESCOTT VALLEY
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State | AZ
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Zip | 86312-5708
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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 |
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 5899
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License Number State | AZ
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