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General NPI Number Information
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NPI Number | 1790880789
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Entity Type | Individual
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Provider Name | JEFFREY W LAUBMEIER DMD
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Gender | Male
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 07/15/2007
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Provider Practice Location Address
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Address Line | 14583 MADISON AVE
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City | LAKEWOOD
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State | OH
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Zip | 44107-4325
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Country | US
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Telephone | 216-226-3084
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Fax | 216-226-7998
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Provider Business Mailing Address
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Address Line | 33175 CANTERBURY RD
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City | AVON LAKE
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State | OH
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Zip | 44012
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Country | US
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Telephone | 216-650-4380
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 30021888
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License Number State | OH
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