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NPI 1285713347

NPI 1285713347 : WILLIAM EDWARD LAUGHLIN DC : WICHITA, KS

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General NPI Number Information
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    NPI Number           |    1285713347
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    Entity Type          |    Individual 
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    Provider Name        |    WILLIAM EDWARD LAUGHLIN DC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/02/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    2363 N AMIDON AVE 
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    City                 |    WICHITA
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    State                |    KS
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    Zip                  |    67204-5629
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    Country              |    US
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    Telephone            |    316-838-5103
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2363 N AMIDON AVE 
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    City                 |    WICHITA
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    State                |    KS
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    Zip                  |    67204-5629
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    Country              |    US
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    Telephone            |    316-838-5103
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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        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    0104139
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    License Number State |    KS
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Taxonomy #2
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    5861
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    License Number State |    TX
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