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General NPI Number Information
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NPI Number | 1013454396
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Entity Type | Organization
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Legal Business Name | GFY LLC
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Dates
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Enumeration Date | 01/25/2017
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Last Update Date | 04/21/2017
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Provider Practice Location Address
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Address Line | 189 S STATE ST STE 120
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City | CLEARFIELD
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State | UT
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Zip | 84015-1062
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Country | US
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Telephone | 801-820-5545
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Fax | 801-820-5665
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Provider Business Mailing Address
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Address Line | 1710 HIGHWAY 34
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City | WALL TOWNSHIP
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State | NJ
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Zip | 07727-3906
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Country | US
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Telephone | 866-777-7000
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Fax |
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Authorized Official
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Title or Position | COMPLIANCE OFFICER
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Name | ALEXANDER MCDANIEL
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Credential |
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Telephone | 866-777-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 10283835-1703
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License Number State | UT
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