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General NPI Number Information
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NPI Number | 1922303668
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Entity Type | Organization
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Legal Business Name | LAWRENCE BRACES, P.C.
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Dates
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Enumeration Date | 01/11/2011
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Last Update Date | 03/13/2023
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Provider Practice Location Address
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Address Line | 355 ESSEX ST
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City | LAWRENCE
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State | MA
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Zip | 01840-1410
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Country | US
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Telephone | 978-794-0000
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Fax | 508-306-4333
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Provider Business Mailing Address
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Address Line | 355 ESSEX ST
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City | LAWRENCE
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State | MA
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Zip | 01840-1410
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Country | US
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Telephone | 978-794-0000
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Fax | 508-306-4333
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HOUSSAM ALKHOURY
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Credential | DMD
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Telephone | 508-589-8270
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 20511
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License Number State | MA
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