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General NPI Number Information
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NPI Number | 1265522684
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Entity Type | Individual
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Provider Name | MICHAEL WELING LAUERMANN M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/14/2006
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Last Update Date | 09/17/2019
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Provider Practice Location Address
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Address Line | 10941 BLOOMFIELD ST SUITE A.
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City | LOS ALAMITOS
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State | CA
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Zip | 90720-2530
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Country | US
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Telephone | 562-799-9500
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Fax | 562-799-9300
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Provider Business Mailing Address
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Address Line | 16835 ALGONQUIN ST SUITE 490
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92649-3810
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Country | US
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Telephone | 714-943-1372
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Fax | 562-799-9300
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | A25668
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | A25668
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License Number State | CA
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