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General NPI Number Information
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NPI Number | 1477742690
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Entity Type | Organization
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Legal Business Name | THOMAS E LAFFERTY MD PA
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Dates
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Enumeration Date | 10/24/2007
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Last Update Date | 04/25/2008
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Provider Practice Location Address
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Address Line | 40 SW 12TH ST SUITE C101
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City | OCALA
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State | FL
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Zip | 34471-6525
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Country | US
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Telephone | 352-304-5744
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Fax | 352-304-5747
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Provider Business Mailing Address
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Address Line | PO BOX 129
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City | OCALA
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State | FL
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Zip | 34478-0129
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Country | US
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Telephone | 352-304-5744
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Fax | 352-304-5747
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | PEGGY MARCHAN
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Credential |
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Telephone | 352-304-5744
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME73535
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License Number State | FL
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