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General NPI Number Information
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NPI Number | 1477146926
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Entity Type | Individual
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Provider Name | RENEE HALEY MCLAUGHLIN MD
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Gender | Female
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Dates
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Enumeration Date | 02/16/2021
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Last Update Date | 02/16/2021
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Provider Practice Location Address
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Address Line | 4724 TAKKINEN ROAD
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City | CHATHAM
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State | MI
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Zip | 49816-0185
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Country | US
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Telephone | 906-439-5202
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 185
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City | CHATHAM
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State | MI
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Zip | 49816-0185
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Country | US
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Telephone |
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 4301076987
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License Number State | MI
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