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General NPI Number Information
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NPI Number | 1912196718
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Entity Type | Individual
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Provider Name | CORY LAPLANTE CP
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Gender | Male
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Dates
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Enumeration Date | 10/17/2007
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Last Update Date | 11/03/2008
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Provider Practice Location Address
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Address Line | 40 NORTH ST SUITE E
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City | PRESQUE ISLE
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State | ME
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Zip | 04769-2269
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Country | US
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Telephone | 207-768-5348
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Fax |
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Provider Business Mailing Address
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Address Line | 40 NORTH ST SUITE 5
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City | PRESQUE ISLE
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State | ME
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Zip | 04769-2269
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Country | US
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Telephone | 207-768-5348
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Fax |
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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 | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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