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General NPI Number Information
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NPI Number | 1689617722
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Entity Type | Organization
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Legal Business Name | A P MCLAUGHLIN III APC
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 06/25/2008
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Provider Practice Location Address
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Address Line | 120 N LEADVILLE
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City | KETCHUM
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State | ID
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Zip | 83340
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Country | US
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Telephone | 208-726-0124
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Fax |
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Provider Business Mailing Address
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Address Line | 120 N LEADVILLE
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City | KETCHUM
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State | ID
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Zip | 83340
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Country | US
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Telephone | 208-726-0124
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | AMBROSE PAT MCLAUGHLIN
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Credential | M.D.
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Telephone | 208-726-0124
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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