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General NPI Number Information
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NPI Number | 1679846877
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Entity Type | Individual
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Provider Name | MEI-CHEN S LASKY R.PH.
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Gender | Female
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Dates
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Enumeration Date | 02/17/2012
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Last Update Date | 02/17/2012
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Provider Practice Location Address
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Address Line | 5518 W CHICAGO AVE
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City | CHICAGO
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State | IL
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Zip | 60651-2726
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Country | US
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Telephone | 773-261-6664
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Fax |
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Provider Business Mailing Address
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Address Line | 267 COLUMBINE DR
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City | CLARENDON HILLS
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State | IL
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Zip | 60514-1007
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Country | US
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Telephone | 630-789-8019
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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 | 051287316
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License Number State | IL
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