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General NPI Number Information
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NPI Number | 1518077825
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Entity Type | Individual
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Provider Name | ALBERT E. LAUGHLIN JR. MD
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Gender | Male
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 08/04/2020
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Provider Practice Location Address
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Address Line | 7705 POPLAR AVE SUITE 125
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City | GERMANTOWN
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State | TN
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Zip | 38138-3967
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Country | US
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Telephone | 901-516-6353
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Fax | 901-516-6354
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Provider Business Mailing Address
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Address Line | PO BOX 1000, DEPT 234
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City | MEMPHIS
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State | TN
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Zip | 38148-0234
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Country | US
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Telephone | 901-516-6353
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Fax | 901-516-6354
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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 | 8630
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License Number State | TN
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