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General NPI Number Information
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NPI Number | 1053327734
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Entity Type | Individual
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Provider Name | JOHN LOUGHNANE MD
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Gender | Male
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 08/23/2023
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Provider Practice Location Address
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Address Line | 205 PARKINGWAY
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City | QUINCY
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State | MA
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Zip | 02169
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Country | US
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Telephone | 617-820-5968
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Fax | 833-471-5603
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Provider Business Mailing Address
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Address Line | 744 E SQUANTUM ST
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City | QUINCY
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State | MA
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Zip | 02171-1253
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Country | US
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Telephone | 617-820-5968
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Fax | 833-471-5603
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 213246
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License Number State | MA
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