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General NPI Number Information
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NPI Number | 1851290555
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Entity Type | Individual
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Provider Name | LAURENCE DWIGHT COX
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Gender | Male
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Dates
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Enumeration Date | 11/02/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 4500 HUGH HOWELL RD STE 620C
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City | TUCKER
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State | GA
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Zip | 30084-4720
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Country | US
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Telephone | 770-864-0819
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Fax | 770-808-8324
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Provider Business Mailing Address
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Address Line | 4500 HUGH HOWELL RD STE 620C
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City | TUCKER
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State | GA
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Zip | 30084-4720
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Country | US
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Telephone | 770-864-0819
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Fax | 770-808-8324
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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 | 2279P1004X
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Taxonomy Name | Pulmonary Diagnostics Registered Respiratory Therapist
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License Number | 002396
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License Number State | GA
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