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General NPI Number Information
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NPI Number | 1114359650
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Entity Type | Individual
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Provider Name | LAUREN RADLEY PHARMD, RPH
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Gender | Female
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Dates
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Enumeration Date | 08/07/2013
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Last Update Date | 12/01/2020
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Provider Practice Location Address
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Address Line | 3914 CAPITAL BLVD
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City | RALEIGH
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State | NC
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Zip | 27604-3412
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Country | US
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Telephone | 919-876-5600
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Fax |
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Provider Business Mailing Address
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Address Line | 3914 CAPITAL BLVD
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City | RALEIGH
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State | NC
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Zip | 27604-3412
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Country | US
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Telephone | 919-876-5600
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Fax |
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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 | PH234807
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28RI03635800
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PCT.0012664
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 29444
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License Number State | NC
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