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General NPI Number Information
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NPI Number | 1518568377
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Entity Type | Individual
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Provider Name | ANNA MARIE LAFFOON RD
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Gender | Female
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Dates
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Enumeration Date | 11/06/2020
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Last Update Date | 10/01/2026
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Provider Practice Location Address
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Address Line | 1721 W ELFINDALE ST
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City | SPRINGFIELD
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State | MO
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Zip | 65807-1295
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Country | US
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Telephone | 417-605-7326
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Fax |
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Provider Business Mailing Address
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Address Line | 1231 E HARRISON ST
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City | SPRINGFIELD
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State | MO
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Zip | 65804-0005
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Country | US
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Telephone | 417-838-7194
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State | NULL
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