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General NPI Number Information
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NPI Number | 1447672050
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Entity Type | Organization
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Legal Business Name | JEFFREY L MCLAUGHLIN OD LLC
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Dates
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Enumeration Date | 01/16/2014
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Last Update Date | 01/16/2014
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Provider Practice Location Address
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Address Line | 2701 CLOVERDALE RD
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City | FLORENCE
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State | AL
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Zip | 35633-1402
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Country | US
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Telephone | 256-712-6414
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Fax |
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Provider Business Mailing Address
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Address Line | 1944 CHARLOTTE CT
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City | FLORENCE
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State | AL
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Zip | 35630-6768
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Country | US
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Telephone | 256-394-1059
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JEFFREY LEE MCLAUGHLIN
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Credential | O.D.
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Telephone | 256-394-1059
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | S-689-TA-255
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License Number State | AL
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