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General NPI Number Information
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NPI Number | 1891950259
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Entity Type | Organization
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Legal Business Name | LAWLER AND ASSOCIATES, LLC
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Dates
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Enumeration Date | 07/25/2008
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Last Update Date | 07/25/2008
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Provider Practice Location Address
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Address Line | 38 BOLAND CT SUITE 106
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City | GREENVILLE
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State | SC
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Zip | 29615-5707
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Country | US
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Telephone | 864-631-2824
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Fax |
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Provider Business Mailing Address
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Address Line | 38 BOLAND CT SUITE 106
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City | GREENVILLE
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State | SC
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Zip | 29615-5707
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Country | US
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Telephone | 864-631-2824
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. RONALD G DEGARMO
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Credential | DO
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Telephone | 864-631-2824
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | DO340
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License Number State | SC
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