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General NPI Number Information
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NPI Number | 1255622908
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Entity Type | Organization
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Legal Business Name | MCLAUGHLIN INC.
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Dates
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Enumeration Date | 04/28/2011
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Last Update Date | 04/28/2011
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Provider Practice Location Address
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Address Line | 6700 WHITMORE LAKE RD
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City | BRIGHTON
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State | MI
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Zip | 48116-2160
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Country | US
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Telephone | 810-220-8950
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Fax |
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Provider Business Mailing Address
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Address Line | 6700 WHITMORE LAKE RD
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City | BRIGHTON
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State | MI
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Zip | 48116-2160
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Country | US
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Telephone | 810-220-8950
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL MCLAUGHLIN
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Credential |
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Telephone | 248-854-8076
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4901004534
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License Number State | MI
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