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General NPI Number Information
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NPI Number | 1710203575
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Entity Type | Individual
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Provider Name | LAURENE L WUNDER R.PH.
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Gender | Female
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Dates
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Enumeration Date | 04/19/2010
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Last Update Date | 04/19/2010
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Provider Practice Location Address
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Address Line | 696 STONY HILL RD
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City | YARDLEY
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State | PA
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Zip | 19067-4419
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Country | US
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Telephone | 215-321-9143
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Fax | 215-321-3017
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Provider Business Mailing Address
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Address Line | 1 TEAL DR
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City | LANGHORNE
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State | PA
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Zip | 19047-8233
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Country | US
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Telephone | 215-702-8292
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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 | RP032175L
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License Number State | PA
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