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General NPI Number Information
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NPI Number | 1306152210
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Entity Type | Organization
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Legal Business Name | LAING DERMATOLOGY & SKIN CANCER CENTER PA
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Dates
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Enumeration Date | 08/30/2010
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Last Update Date | 12/29/2014
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Provider Practice Location Address
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Address Line | 6807 KNIGHTDALE BLVD SUITE C
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City | KNIGHTDALE
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State | NC
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Zip | 27545-6562
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Country | US
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Telephone | 919-395-0776
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Fax |
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Provider Business Mailing Address
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Address Line | 6807 KNIGHTDALE BLVD SUITE C
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City | KNIGHTDALE
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State | NC
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Zip | 27545-6562
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Country | US
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Telephone | 919-395-0776
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | VAL B LAING
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Credential | MD
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Telephone | 919-395-0776
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 38645
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License Number State | NC
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