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General NPI Number Information
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NPI Number | 1366418378
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Entity Type | Individual
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Provider Name | LLOYD GEORGE LANGSTON MD
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Gender | Male
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Dates
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Enumeration Date | 02/28/2006
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Last Update Date | 09/29/2009
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Provider Practice Location Address
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Address Line | 1715 W MAIN ST
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City | HEBER SPRINGS
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State | AR
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Zip | 72543-2835
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Country | US
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Telephone | 501-361-0606
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Fax | 501-362-8842
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Provider Business Mailing Address
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Address Line | 1715 W MAIN ST
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City | HEBER SPRINGS
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State | AR
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Zip | 72543-2835
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Country | US
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Telephone | 501-361-0606
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Fax | 501-362-8842
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | C4115
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License Number State | AR
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