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General NPI Number Information
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NPI Number | 1487572152
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Entity Type | Individual
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Provider Name | LAURIN ELAINE GILLIARD MS, RD, CSR, LDN
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Gender | Female
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Dates
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Enumeration Date | 07/08/2026
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Last Update Date | 07/08/2026
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Provider Practice Location Address
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Address Line | 105 DESMOND ST
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City | SAYRE
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State | PA
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Zip | 18840-2001
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Country | US
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Telephone | 570-887-2832
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Fax |
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Provider Business Mailing Address
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Address Line | 1096 LIBERTY CORNERS RD APT 2
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City | TOWANDA
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State | PA
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Zip | 18848-8381
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Country | US
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Telephone | 570-721-3921
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | DN004827
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License Number State | PA
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