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General NPI Number Information
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NPI Number | 1013347459
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Entity Type | Individual
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Provider Name | LAUREN BROOKE DENTON PHARM. D.
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Gender | Female
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Dates
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Enumeration Date | 11/21/2013
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Last Update Date | 11/21/2013
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Provider Practice Location Address
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Address Line | 615 N PLAZA CT SUITE A
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City | VAN BUREN
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State | AR
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Zip | 72956-2600
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Country | US
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Telephone | 479-262-6969
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Fax | 479-262-6973
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Provider Business Mailing Address
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Address Line | 531 MOUNTAIN EDGE
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City | VAN BUREN
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State | AR
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Zip | 72956-9058
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Country | US
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Telephone | 870-678-3004
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Fax | 479-262-6973
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PD12060
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License Number State | AR
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