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General NPI Number Information
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NPI Number | 1962328336
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Entity Type | Organization
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Legal Business Name | MCLAURINE MEDICAL LLC
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Dates
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Enumeration Date | 06/29/2026
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Last Update Date | 06/29/2026
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Provider Practice Location Address
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Address Line | 2501 KENTUCKY AVE FL 5
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City | PADUCAH
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State | KY
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Zip | 42003-3813
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Country | US
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Telephone | 270-963-5564
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5
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City | MURRAY
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State | KY
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Zip | 42071-0001
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Country | US
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Telephone | 270-963-5564
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TYLER MCLAURINE
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Credential | MD
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Telephone | 270-963-5564
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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