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General NPI Number Information
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NPI Number | 1801061148
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Entity Type | Organization
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Legal Business Name | LAWRENCE COUNSELING
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Dates
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Enumeration Date | 04/28/2008
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Last Update Date | 04/28/2008
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Provider Practice Location Address
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Address Line | 312 S PROGRESS AVE
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City | HARRISBURG
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State | PA
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Zip | 17109-5722
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Country | US
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Telephone | 717-540-9505
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Fax | 717-540-9527
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Provider Business Mailing Address
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Address Line | 312 S PROGRESS AVE
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City | HARRISBURG
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State | PA
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Zip | 17109-5722
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Country | US
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Telephone | 717-540-9505
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Fax | 717-540-9527
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Authorized Official
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Title or Position | OWNER
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Name | DON LISTER LAWRENCE
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Credential | L.S.W.
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Telephone | 717-540-9505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | SW005293E
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License Number State | PA
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