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General NPI Number Information
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NPI Number | 1568732832
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Entity Type | Individual
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Provider Name | KAREN SUE LAYNE RPH
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Gender | Female
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Dates
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Enumeration Date | 01/04/2012
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Last Update Date | 01/04/2012
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Provider Practice Location Address
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Address Line | 2979 LINDEN ST
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City | BETHLEHEM
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State | PA
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Zip | 18017-3233
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Country | US
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Telephone | 610-807-9045
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Fax |
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Provider Business Mailing Address
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Address Line | 4529 VIRGINIA DR
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City | BETHLEHEM
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State | PA
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Zip | 18017-8721
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Country | US
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Telephone | 610-758-9085
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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 | RP040393R
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License Number State | PA
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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 | 33033
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License Number State | TX
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