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General NPI Number Information
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NPI Number | 1366599920
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Entity Type | Individual
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Provider Name | COLLEEN D LAUSTER PHARMD, CDE
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Gender | Female
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 302 SCAIFE HALL 200 LOTHROP STREET
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City | PITTSBURGH
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State | PA
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Zip | 16046
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Country | US
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Telephone | 412-647-0899
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Fax | 412-647-1441
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Provider Business Mailing Address
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Address Line | 508 VILLAGE GREEN BLVD W
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City | MARS
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State | PA
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Zip | 16046-4814
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Country | US
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Telephone | 810-434-0403
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Fax | 412-647-1441
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | RP440620
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License Number State | PA
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