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General NPI Number Information
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NPI Number | 1821875824
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Entity Type | Individual
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Provider Name | CHRISTINE PRISCILLA LAWRENCE LPC-A
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Gender | Female
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Dates
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Enumeration Date | 09/12/2023
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Last Update Date | 05/16/2024
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Provider Practice Location Address
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Address Line | 6380 LBJ FWY STE 294
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City | DALLAS
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State | TX
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Zip | 75240-6434
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Country | US
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Telephone | 214-494-0284
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Fax |
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Provider Business Mailing Address
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Address Line | 2106 AUBURN DR
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City | RICHARDSON
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State | TX
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Zip | 75081-3128
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Country | US
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Telephone | 469-247-4941
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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