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General NPI Number Information
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NPI Number | 1649246380
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Entity Type | Individual
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Provider Name | VINCENT D LAPORTE MD
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Gender | Male
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Dates
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Enumeration Date | 02/23/2006
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Last Update Date | 01/13/2015
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Provider Practice Location Address
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Address Line | 1521 CARLSON ST
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City | MARSHALL
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State | MN
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Zip | 56258-2626
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Country | US
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Telephone | 507-532-9631
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Fax | 507-532-1176
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Provider Business Mailing Address
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Address Line | 1521 CARLSON ST
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City | MARSHALL
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State | MN
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Zip | 56258-2626
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Country | US
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Telephone | 507-532-9631
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Fax | 507-532-1176
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20442
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License Number State | MN
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