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General NPI Number Information
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NPI Number | 1295953883
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Entity Type | Individual
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Provider Name | LAURA J BOSTWICK PHARM D, RPH
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Gender | Female
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Dates
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Enumeration Date | 04/22/2007
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 315 S. MANNING BLVD INPATIENT PHARMACY ROOM 0621A
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City | ALBANY
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State | NY
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Zip | 12208
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Country | US
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Telephone | 518-525-8992
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Fax |
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Provider Business Mailing Address
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Address Line | 60 WAKEFIELD CT
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City | DELMAR
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State | NY
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Zip | 12054
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Country | US
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Telephone | 617-477-7337
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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 | 21085
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 1835N1003X
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Taxonomy Name | Nutrition Support Pharmacist
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License Number | 21085
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License Number State | MA
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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 | 067558
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License Number State | NY
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