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General NPI Number Information
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NPI Number | 1942385901
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Entity Type | Individual
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Provider Name | DENISE CLOUD LAING FNP-C
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Gender | Female
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 209 N CUTHBERT ST
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City | COLQUITT
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State | GA
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Zip | 39837
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Country | US
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Telephone | 229-758-3385
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Fax | 229-785-5937
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Provider Business Mailing Address
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Address Line | 209 N CUTHBERT ST
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City | COLQUITT
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State | GA
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Zip | 39837
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Country | US
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Telephone | 229-758-3385
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Fax | 229-785-5937
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 127193
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | RN127193
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | RN127193
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License Number State | GA
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