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General NPI Number Information
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NPI Number | 1063607414
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Entity Type | Organization
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Legal Business Name | DOUGLAS M. LAFLAN, M.D., P.C.
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Dates
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Enumeration Date | 09/10/2007
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Last Update Date | 07/09/2008
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Provider Practice Location Address
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Address Line | 804 CHASE AVE
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City | CREIGHTON
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State | NE
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Zip | 68729-2893
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Country | US
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Telephone | 402-358-5335
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Fax | 402-358-3598
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Provider Business Mailing Address
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Address Line | 804 CHASE AVENUE PO BOX 110
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City | CREIGHTON
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State | NE
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Zip | 68729-0110
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Country | US
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Telephone | 402-358-5335
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Fax | 402-358-3598
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DOUGLAS M LAFLAN
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Credential | M.D.
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Telephone | 402-358-5335
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 12187
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License Number State | NE
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