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General NPI Number Information
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NPI Number | 1710060256
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Entity Type | Individual
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Provider Name | WILLIAM RANSON LAFORCE M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 315 BOULEVARD NE STE 500
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City | ATLANTA
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State | GA
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Zip | 30312-1266
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Country | US
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Telephone | 404-523-1313
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1857
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-8857
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Country | US
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Telephone | 404-265-4712
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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 | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | 035079
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License Number State | GA
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