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General NPI Number Information
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NPI Number | 1902846959
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Entity Type | Individual
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Provider Name | ROSA MARIE MCLAURIN DC
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Gender | Female
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Dates
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Enumeration Date | 06/07/2006
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Last Update Date | 06/11/2012
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Provider Practice Location Address
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Address Line | 1300 N CENTER ST SUITE C
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City | LONOKE
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State | AR
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Zip | 72086
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Country | US
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Telephone | 501-676-3600
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Fax | 501-676-3601
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Provider Business Mailing Address
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Address Line | 1300 N CENTER ST SUITE C
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City | LONOKE
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State | AR
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Zip | 72086
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Country | US
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Telephone | 501-676-3600
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Fax | 501-676-3601
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1373
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License Number State | AR
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