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General NPI Number Information
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NPI Number | 1952538696
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Entity Type | Organization
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Legal Business Name | MATTHEW W. LOUGHLIN, M.D., L.L.C.
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Dates
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Enumeration Date | 06/21/2009
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Last Update Date | 09/05/2010
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Provider Practice Location Address
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Address Line | 1302 LAKEWOOD DR SUITE 101
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City | MORGAN CITY
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State | LA
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Zip | 70380-1800
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Country | US
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Telephone | 337-329-2224
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Fax | 337-329-2230
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Provider Business Mailing Address
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Address Line | 1302 LAKEWOOD DR SUITE 101
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City | MORGAN CITY
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State | LA
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Zip | 70380-1800
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Country | US
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Telephone | 337-329-2224
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Fax | 337-329-2230
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Authorized Official
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Title or Position | OWNER
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Name | DR. MATTHEW LOUGHLIN
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Credential | MD
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Telephone | 985-329-2224
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | MD.2000
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License Number State | LA
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