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General NPI Number Information
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NPI Number | 1790039006
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Entity Type | Individual
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Provider Name | KATHLEEN MC LAUGHLIN PHARMD
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Gender | Female
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Dates
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Enumeration Date | 11/08/2012
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Last Update Date | 08/25/2019
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Provider Practice Location Address
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Address Line | 904 PROSPECT AVE
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City | BRONX
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State | NY
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Zip | 10459-3929
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Country | US
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Telephone | 718-991-6700
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Fax | 718-874-1378
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Provider Business Mailing Address
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Address Line | 904 PROSPECT AVE
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City | BRONX
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State | NY
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Zip | 10459-3929
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Country | US
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Telephone | 718-991-6700
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Fax | 718-874-1378
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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 | 056642
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License Number State | NY
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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 | RP446420
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License Number State | PA
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