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General NPI Number Information
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NPI Number | 1730783051
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Entity Type | Individual
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Provider Name | LAUREN MARIE COSTE RPH
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Gender | Female
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Dates
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Enumeration Date | 11/27/2020
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Last Update Date | 11/27/2020
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Provider Practice Location Address
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Address Line | 330 COURT ST
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City | PLYMOUTH
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State | MA
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Zip | 02360-4325
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Country | US
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Telephone | 508-732-0219
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Fax | 508-281-2232
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Provider Business Mailing Address
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Address Line | 27 LAKESIDE RD
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City | HANSON
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State | MA
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Zip | 02341-1415
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Country | US
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Telephone | 781-234-4281
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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 | PH233198
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License Number State | MA
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