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General NPI Number Information
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NPI Number | 1891686796
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Entity Type | Individual
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Provider Name | ABBYGAILE JO LAWRENCE
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Gender | Female
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Dates
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Enumeration Date | 07/10/2025
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 1632 E PERRY ST
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City | PORT CLINTON
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State | OH
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Zip | 43452-1332
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Country | US
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Telephone | 419-960-5559
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Fax |
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Provider Business Mailing Address
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Address Line | 310 E MAIN ST
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City | RISINGSUN
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State | OH
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Zip | 43457-9768
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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