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General NPI Number Information
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NPI Number | 1164915658
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Entity Type | Individual
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Provider Name | ANDREA MCLAUGHLIN DDS
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Gender | Female
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Dates
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Enumeration Date | 06/11/2018
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 2849 COUNTY HIGHWAY I
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City | CHIPPEWA FALLS
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State | WI
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Zip | 54729-2656
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Country | US
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Telephone | 715-723-0287
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Fax |
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Provider Business Mailing Address
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Address Line | 4684 143RD ST
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City | CHIPPEWA FALLS
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State | WI
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Zip | 54729-3686
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Country | US
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Telephone | 715-828-3829
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 1001834-15
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License Number State | WI
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