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General NPI Number Information
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NPI Number | 1417043043
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Entity Type | Individual
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Provider Name | LAURA M FLAHERTY RPH
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Gender | Female
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1034 N 500 W
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City | PROVO
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State | UT
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Zip | 84601
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Country | US
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Telephone | 801-357-7501
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Fax |
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Provider Business Mailing Address
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Address Line | 875 W 830 N
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City | OREM
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State | UT
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Zip | 84057
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Country | US
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Telephone | 802-274-9776
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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 | 6170476
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License Number State | UT
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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 | 033-0003425
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License Number State | VT
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