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General NPI Number Information
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NPI Number | 1578756508
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Entity Type | Individual
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Provider Name | PAUL M LAFFERTY M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/22/2007
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 14101 FAIRVIEW DR STE 300
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City | BURNSVILLE
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State | MN
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Zip | 55337-2537
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Country | US
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Telephone | 612-673-6228
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Fax |
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Provider Business Mailing Address
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Address Line | 720 WASHINGTON AVE SE STE 200
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City | MINNEAPOLIS
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State | MN
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Zip | 55414-2924
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Country | US
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Telephone | 612-884-0600
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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 | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number | 25MA0859000
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | 50532
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 50532
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License Number State | MN
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Taxonomy #4
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Taxonomy Code | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number | 233327-1
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License Number State | NY
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