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General NPI Number Information
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NPI Number | 1710814256
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Entity Type | Individual
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Provider Name | HOLDEN LEE LAUGHMAN
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Gender | Male
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Dates
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Enumeration Date | 05/07/2026
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Last Update Date | 05/07/2026
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Provider Practice Location Address
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Address Line | 1930 N BUSINESS, MO-5
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City | CAMDENTON
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State | MO
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Zip | 65020
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Country | US
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Telephone | 573-346-5624
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Fax |
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Provider Business Mailing Address
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Address Line | 34831 HIGHWAY 21
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City | LESTERVILLE
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State | MO
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Zip | 63654-8846
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Country | US
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Telephone |
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 2024044434
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License Number State | MO
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