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General NPI Number Information
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NPI Number | 1164173019
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Entity Type | Organization
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Legal Business Name | IMG LAUGHLIN PLLC
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Dates
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Enumeration Date | 01/12/2022
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Last Update Date | 01/12/2022
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Provider Practice Location Address
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Address Line | 3100 S NEEDLES HWY STE 1000
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City | LAUGHLIN
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State | NV
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Zip | 89029-0898
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Country | US
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Telephone | 702-803-2201
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1309
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City | PAHRUMP
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State | NV
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Zip | 89041-1309
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Country | US
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Telephone | 775-751-6111
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Fax | 775-751-3056
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHAEL D. REINER
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Credential | MD
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Telephone | 775-751-6111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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