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General NPI Number Information
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NPI Number | 1861753303
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Entity Type | Individual
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Provider Name | LAUREN TABILA LAUGHMAN MD
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Gender | Female
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Dates
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Enumeration Date | 05/31/2012
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Last Update Date | 07/07/2023
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Provider Practice Location Address
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Address Line | 10800 MAGNOLIA AVE
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City | RIVERSIDE
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State | CA
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Zip | 92505-3043
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Country | US
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Telephone | 951-353-3986
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Fax | 951-353-5838
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Provider Business Mailing Address
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Address Line | 10800 MAGNOLIA AVE
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City | RIVERSIDE
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State | CA
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Zip | 92505-3043
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Country | US
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Telephone | 951-353-3986
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Fax | 951-353-5838
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | ME122310
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A136600
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME122310
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License Number State | FL
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