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General NPI Number Information
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NPI Number | 1548376528
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Entity Type | Organization
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Legal Business Name | MCLAURIN-GIAMPICCOLO PARTNERSHIP
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 27001 MOULTON PKWY SUITE A100
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City | ALISO VIEJO
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State | CA
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Zip | 92656-3600
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Country | US
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Telephone | 949-362-6552
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Fax | 949-362-6566
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Provider Business Mailing Address
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Address Line | 27001 MOULTON PKWY SUITE A100
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City | ALISO VIEJO
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State | CA
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Zip | 92656-3600
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Country | US
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Telephone | 949-362-6552
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Fax | 949-362-6566
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Authorized Official
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Title or Position | OWNER
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Name | DR. DEBRA LYNN MCLAURIN
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Credential | OD
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Telephone | 949-362-6552
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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