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General NPI Number Information
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NPI Number | 1477760395
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Entity Type | Organization
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Legal Business Name | DR DONALD P MCLAUGHLIN PC
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 03/20/2018
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Provider Practice Location Address
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Address Line | 206 N MAIN ST
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City | RUTLAND
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State | VT
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Zip | 05701-2411
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Country | US
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Telephone | 802-773-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 206 N MAIN ST
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City | RUTLAND
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State | VT
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Zip | 05701-2411
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Country | US
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Telephone | 802-773-7000
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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. DONALD P MCLAUGHLIN
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Credential | DDS PC
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Telephone | 802-773-7000
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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 | 484
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License Number State | VT
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