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General NPI Number Information
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NPI Number | 1659767705
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Entity Type | Individual
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Provider Name | ANDREW LAFLIN D.C.
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Gender | Male
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Dates
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Enumeration Date | 04/15/2015
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Last Update Date | 11/21/2016
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Provider Practice Location Address
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Address Line | 20 POWER DR SUITE 1
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City | COUNCIL BLUFFS
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State | IA
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Zip | 51501-7701
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Country | US
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Telephone | 712-366-1611
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Fax | 712-366-0021
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Provider Business Mailing Address
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Address Line | 836 PARK AVE. #104
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City | OMAHA
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State | NE
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Zip | 68105
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Country | US
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Telephone | 402-430-9653
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | S03833
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 083227
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License Number State | IA
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