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General NPI Number Information
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NPI Number | 1861958159
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Entity Type | Organization
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Legal Business Name | BRENT W LAUGHLIN MD PLLC
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Dates
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Enumeration Date | 02/12/2019
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Last Update Date | 02/12/2019
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Provider Practice Location Address
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Address Line | 2000 S WHEELING AVE STE 700
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City | TULSA
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State | OK
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Zip | 74104-5644
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Country | US
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Telephone | 918-986-7979
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Fax | 918-986-7945
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Provider Business Mailing Address
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Address Line | 2000 S WHEELING AVE STE 700
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City | TULSA
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State | OK
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Zip | 74104-5644
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Country | US
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Telephone | 918-986-7979
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Fax | 918-986-7945
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Authorized Official
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Title or Position | PHYSICIAN / OWNER
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Name | BRENT W. LAUGHLIN
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Credential | MD
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Telephone | 918-645-7984
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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 |
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License Number State |
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