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General NPI Number Information
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NPI Number | 1053350900
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Entity Type | Organization
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Legal Business Name | MICHAEL K LAIDLAW MD, INC.
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 09/28/2011
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Provider Practice Location Address
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Address Line | 4770 ROCKLIN RD SUITE #1
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City | ROCKLIN
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State | CA
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Zip | 95677-3334
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Country | US
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Telephone | 916-315-9100
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Fax | 916-315-0141
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Provider Business Mailing Address
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Address Line | 4770 ROCKLIN RD SUITE #1
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City | ROCKLIN
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State | CA
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Zip | 95677-3334
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Country | US
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Telephone | 916-315-9100
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Fax | 916-315-0141
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL K LAIDLAW JR.
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Credential | M.D.
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Telephone | 916-315-9100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | A81060
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License Number State | CA
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