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General NPI Number Information
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NPI Number | 1386774792
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Entity Type | Individual
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Provider Name | LAURA JEAN HAUGHIE DPT, PHD
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Gender | Female
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1500 E HILLSBORO BLVD
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City | DEERFIELD BEACH
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State | FL
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Zip | 33441-4355
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Country | US
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Telephone | 954-429-0260
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Fax |
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Provider Business Mailing Address
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Address Line | 450 SW 11TH PL
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City | BOCA RATON
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State | FL
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Zip | 33432-7163
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Country | US
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Telephone | 561-417-6266
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 4291
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License Number State | FL
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