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General NPI Number Information
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NPI Number | 1083974091
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Entity Type | Individual
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Provider Name | PHAEDRA MCLAUGHLIN PMP, CPC, PAHM, CPHT
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Gender | Female
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Dates
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Enumeration Date | 05/23/2012
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 407 GREENS RD
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City | HOUSTON
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State | TX
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Zip | 77060-2118
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Country | US
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Telephone | 346-885-1883
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Fax |
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Provider Business Mailing Address
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Address Line | 407 GREENS RD
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City | HOUSTON
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State | TX
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Zip | 77060-2118
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Country | US
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Telephone | 346-885-1883
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 23878441
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 0019458
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 37723
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 0230023306
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License Number State | VA
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Taxonomy #5
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Taxonomy Code | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 049283791
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License Number State | IL
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