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General NPI Number Information
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NPI Number | 1164754149
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Entity Type | Individual
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Provider Name | LAURIE R PEDLAR RPH
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Gender | Female
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Dates
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Enumeration Date | 02/02/2010
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Last Update Date | 02/02/2010
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Provider Practice Location Address
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Address Line | 11A COMMERCE WAY
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City | TOTOWA
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State | NJ
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Zip | 07512-3106
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Country | US
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Telephone | 800-526-5113
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Fax | 973-256-5346
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Provider Business Mailing Address
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Address Line | 55 WETMORE AVE APT 1L
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City | MORRISTOWN
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State | NJ
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Zip | 07960-8208
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Country | US
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Telephone | 973-267-5535
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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 | 28RI02793300
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License Number State | NJ
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