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General NPI Number Information
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NPI Number | 1649286188
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Entity Type | Individual
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Provider Name | LEON DURWARD MCLAUGHLIN JR. MD
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Gender | Male
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 05/01/2012
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Provider Practice Location Address
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Address Line | 27961 US HIGHWAY 98 SUITE 20
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City | DAPHNE
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State | AL
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Zip | 36526-4702
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Country | US
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Telephone | 251-621-6520
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Fax | 251-621-6521
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Provider Business Mailing Address
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Address Line | P O BOX 1590
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City | DAPHNE
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State | AL
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Zip | 36527-4702
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Country | US
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Telephone | 251-621-6520
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Fax | 251-621-6521
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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 | 5388
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License Number State | AL
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