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General NPI Number Information
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NPI Number | 1184062457
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Entity Type | Individual
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Provider Name | LAURA CHRISTINE MCCARTHY D.O., MBA
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Gender | Female
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Dates
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Enumeration Date | 06/10/2013
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Last Update Date | 11/26/2019
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Provider Practice Location Address
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Address Line | 1215 PLEASANT ST STE 514
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City | DES MOINES
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State | IA
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Zip | 50309-1418
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Country | US
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Telephone | 515-241-8912
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Fax |
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Provider Business Mailing Address
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Address Line | 5312 W WOODSAGE RD #302
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City | PEORIA
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State | IL
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Zip | 61615-7875
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Country | US
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Telephone | 314-369-1670
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 2016012443
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 2080P0207X
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Taxonomy Name | Pediatric Hematology & Oncology Physician
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License Number | DO-05421
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License Number State | IA
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