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General NPI Number Information
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NPI Number | 1063765634
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Entity Type | Organization
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Legal Business Name | LCS-WESTMINSTER NEWCASTLE LLC
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Dates
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Enumeration Date | 10/19/2012
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Last Update Date | 03/07/2013
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Provider Practice Location Address
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Address Line | 12600 N PORT WASHINGTON RD
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City | MEQUON
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State | WI
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Zip | 53092-3469
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Country | US
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Telephone | 262-387-8888
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Fax | 262-387-8829
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Provider Business Mailing Address
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Address Line | 12600 N PORT WASHINGTON RD
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City | MEQUON
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State | WI
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Zip | 53092-3469
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Country | US
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Telephone | 262-387-8888
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Fax | 262-387-8829
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | JUDITH LINTNER
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Credential |
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Telephone | 262-387-8888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 9164-42
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License Number State | WI
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