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General NPI Number Information
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NPI Number | 1093865198
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Entity Type | Individual
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Provider Name | MARK P MCLAUGHLIN MD
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Gender | Male
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 10/11/2019
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Provider Practice Location Address
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Address Line | 320 KENNESTONE HOSPITAL BLVD STE LL1
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City | MARIETTA
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State | GA
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Zip | 30060-1166
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Country | US
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Telephone | 770-793-7565
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Fax | 770-793-7985
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Provider Business Mailing Address
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Address Line | 320 KENNESTONE HOSPITAL BLVD SUITE LL1
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City | MARIETTA
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State | GA
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Zip | 30060-1161
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Country | US
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Telephone | 770-793-7565
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Fax | 770-793-7985
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 54079
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License Number State | GA
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