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General NPI Number Information
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NPI Number | 1023004645
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Entity Type | Individual
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Provider Name | JANET LAUGHLIN CRNA
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Gender | Female
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Dates
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Enumeration Date | 09/20/2005
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Last Update Date | 03/06/2015
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Provider Practice Location Address
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Address Line | 6485 POPLAR AVE
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City | MEMPHIS
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State | TN
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Zip | 38119-4838
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Country | US
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Telephone | 901-767-4014
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Fax |
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Provider Business Mailing Address
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Address Line | 359 WELLINGTON CV
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City | JACKSON
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State | TN
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Zip | 38305-6609
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Country | US
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Telephone | 731-664-4938
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RN0000044459
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License Number State | TN
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