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General NPI Number Information
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NPI Number | 1871878140
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Entity Type | Individual
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Provider Name | SHLOMO AVINOAM LAWRENCE MS
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Gender | Male
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Dates
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Enumeration Date | 10/18/2011
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Last Update Date | 12/05/2022
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Provider Practice Location Address
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Address Line | 8318 BOCA GLADES BLVD E
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City | BOCA RATON
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State | FL
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Zip | 33434-4029
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Country | US
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Telephone | 954-408-4129
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Fax |
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Provider Business Mailing Address
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Address Line | 8318 BOCA GLADES BLVD E
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City | BOCA RATON
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State | FL
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Zip | 33434-4029
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Country | US
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Telephone | 954-605-5804
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | IMT1067
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MT2918
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License Number State | FL
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