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General NPI Number Information
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NPI Number | 1770045569
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Entity Type | Individual
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Provider Name | LAURA S SHINGLETON DO
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Gender | Female
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Dates
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Enumeration Date | 04/02/2019
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Last Update Date | 08/06/2022
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Provider Practice Location Address
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Address Line | 21311 MADRONA AVE
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City | TORRANCE
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State | CA
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Zip | 90503-5970
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Country | US
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Telephone | 310-310-7924
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Fax |
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Provider Business Mailing Address
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Address Line | 21311 MADRONA AVE STE 100A
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City | TORRANCE
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State | CA
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Zip | 90503-5970
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Country | US
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Telephone | 310-310-7924
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | FS9985271
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20A19902
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License Number State | CA
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