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General NPI Number Information
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NPI Number | 1174176903
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Entity Type | Individual
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Provider Name | ANDREW LAFLAMME DDS
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Gender | Male
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Dates
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Enumeration Date | 07/21/2019
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Last Update Date | 07/21/2019
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Provider Practice Location Address
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Address Line | 3960 EL CAMINO AVE STE 6
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City | SACRAMENTO
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State | CA
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Zip | 95821-6534
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Country | US
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Telephone | 415-964-0310
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Fax |
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Provider Business Mailing Address
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Address Line | 160 BRANNAN ST APT 307
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City | SAN FRANCISCO
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State | CA
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Zip | 94107-2076
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Country | US
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Telephone | 209-247-9253
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DDS101902
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License Number State | CA
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