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General NPI Number Information
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NPI Number | 1275575631
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Entity Type | Individual
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Provider Name | SHAUNA M LAUGHNA PH.D., ABPP
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Gender | Female
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 03/11/2016
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Provider Practice Location Address
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Address Line | 235 S MAITLAND AVE SUITE 106
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City | MAITLAND
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State | FL
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Zip | 32751-5677
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Country | US
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Telephone | 407-695-7446
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Fax | 407-699-7446
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Provider Business Mailing Address
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Address Line | 235 S MAITLAND AVE SUITE 106
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City | MAITLAND
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State | FL
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Zip | 32751-5677
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Country | US
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Telephone | 407-695-7446
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Fax | 407-699-7446
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY 000 3740
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY 000 3740
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License Number State | FL
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