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General NPI Number Information
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NPI Number | 1881059236
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Entity Type | Organization
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Legal Business Name | LAURING DERMATOLOGY LLC
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Dates
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Enumeration Date | 12/29/2015
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Last Update Date | 03/07/2017
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Provider Practice Location Address
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Address Line | 7642 BELAIR RD
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City | NOTTINGHAM
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State | MD
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Zip | 21236-4088
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Country | US
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Telephone | 410-665-3093
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Fax | 410-665-1975
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Provider Business Mailing Address
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Address Line | 7642 BELAIR RD
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City | NOTTINGHAM
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State | MD
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Zip | 21236-4088
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Country | US
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Telephone | 410-665-3093
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Fax | 410-665-1975
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Authorized Official
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Title or Position | MD/OWNER
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Name | DR. OANH H LAURING
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Credential | MD
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Telephone | 410-665-3093
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | C0003177
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | D0061721
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License Number State | MD
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