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General NPI Number Information
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NPI Number | 1548093743
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Entity Type | Individual
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Provider Name | LAUREN ADELE AUSTIN PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/22/2024
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Last Update Date | 08/22/2024
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Provider Practice Location Address
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Address Line | 839 FARMINGTON AVE
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City | BRISTOL
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State | CT
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Zip | 06010-3922
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Country | US
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Telephone | 860-582-8167
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Fax |
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Provider Business Mailing Address
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Address Line | 514 CHURCH ST
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City | NEW BRITAIN
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State | CT
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Zip | 06051-2313
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Country | US
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Telephone | 860-965-1287
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PCI.0009330
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License Number State | CT
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