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General NPI Number Information
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NPI Number | 1003825308
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Entity Type | Individual
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Provider Name | LAURA J FOX CPHT
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Gender | Female
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 12/31/2013
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Provider Practice Location Address
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Address Line | 14300 N BECK RD PHARMACY DEPARTMENT
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City | PLYMOUTH
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State | MI
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Zip | 48170-3377
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Country | US
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Telephone | 734-354-5950
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Fax | 734-354-5992
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Provider Business Mailing Address
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Address Line | 14300 N BECK RD
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City | PLYMOUTH
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State | MI
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Zip | 48170-3377
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Country | US
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Telephone | 734-354-5950
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Fax | 734-354-5992
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 221503062671699
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License Number State | MI
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