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General NPI Number Information
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NPI Number | 1710490875
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Entity Type | Organization
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Legal Business Name | DR. DANIEL LAEUPPLE, LLC
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Dates
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Enumeration Date | 11/13/2017
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 953 JEFF RD NW BLDG#2
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City | HUNTSVILLE
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State | AL
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Zip | 35806
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Country | US
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Telephone | 256-346-0126
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Fax | 256-255-2148
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Provider Business Mailing Address
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Address Line | 953 JEFF RD NW BLDG#2
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City | HUNTSVILLE
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State | AL
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Zip | 35806
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Country | US
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Telephone | 256-346-0126
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Fax | 256-255-2148
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Authorized Official
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Title or Position | OWNER
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Name | DR. DANIEL LAEUPPLE
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Credential | MD
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Telephone | 256-617-0608
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 23614
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License Number State | AL
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