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General NPI Number Information
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NPI Number | 1629671938
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Entity Type | Individual
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Provider Name | LAURA LEE MCALLISTER PHARMD
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Gender | Female
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Dates
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Enumeration Date | 11/18/2020
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Last Update Date | 11/18/2020
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Provider Practice Location Address
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Address Line | 82 NEWPORT ROAD
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City | NEW LONDON
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State | NH
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Zip | 03257
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Country | US
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Telephone | 802-558-2949
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Fax |
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Provider Business Mailing Address
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Address Line | POB 6762
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City | RUTLAND
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State | VT
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Zip | 05702
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Country | US
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Telephone | 802-558-2949
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | R2493
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License Number State | NH
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