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General NPI Number Information
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NPI Number | 1417542499
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Entity Type | Organization
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Legal Business Name | MCLAUGHLIN SPENDLOVE PLLC
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Dates
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Enumeration Date | 03/02/2021
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Last Update Date | 03/02/2021
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Provider Practice Location Address
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Address Line | 940 N SWITZER CANYON DR STE 201
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City | FLAGSTAFF
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State | AZ
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Zip | 86001-4852
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Country | US
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Telephone | 928-779-4568
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Fax |
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Provider Business Mailing Address
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Address Line | 940 N SWITZER CANYON DR STE 201
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City | FLAGSTAFF
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State | AZ
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Zip | 86001-4852
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Country | US
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Telephone | 928-779-4568
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Fax |
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Authorized Official
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Title or Position | BOOKKEEPER
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Name | LAURIE RICCI
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Credential |
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Telephone | 928-814-2990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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