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General NPI Number Information
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NPI Number | 1790100675
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Entity Type | Individual
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Provider Name | ALEXANDRA M LAWRENCE M.S.
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Gender | Female
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Dates
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Enumeration Date | 02/28/2014
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Last Update Date | 11/15/2022
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Provider Practice Location Address
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Address Line | 6767 BRENTFIELD DR
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City | DALLAS
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State | TX
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Zip | 75248-2250
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Country | US
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Telephone | 694-593-5655
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Fax |
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Provider Business Mailing Address
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Address Line | 400 S GREENVILLE AVE
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City | RICHARDSON
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State | TX
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Zip | 75081-4100
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Country | US
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Telephone | 694-593-5655
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 108794
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 109897
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License Number State | TX
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