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General NPI Number Information
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NPI Number | 1922286673
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Entity Type | Individual
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Provider Name | KERI K. LAWRENCE LPC
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Gender | Female
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Dates
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Enumeration Date | 02/05/2008
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Last Update Date | 10/22/2012
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Provider Practice Location Address
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Address Line | 9300 LBJ FREEWAY SUITE 937
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City | DALLAS
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State | TX
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Zip | 75234
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Country | US
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Telephone | 682-429-6884
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Fax |
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Provider Business Mailing Address
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Address Line | 1421 CUMBERLAND TRL
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City | PLANO
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State | TX
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Zip | 75023-2922
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Country | US
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Telephone | 972-517-2766
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 63371
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License Number State | TX
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