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General NPI Number Information
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NPI Number | 1164506291
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Entity Type | Organization
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Legal Business Name | KUPPER & DAUGHTERS LLC
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 06/14/2022
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Provider Practice Location Address
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Address Line | 9843 3RD STREET RD
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City | LOUISVILLE
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State | KY
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Zip | 40272-2801
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Country | US
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Telephone | 502-933-8444
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Fax | 502-933-8477
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Provider Business Mailing Address
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Address Line | 9843 3RD STREET RD
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City | LOUISVILLE
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State | KY
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Zip | 40272-2801
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Country | US
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Telephone | 502-933-8444
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Fax | 502-933-8477
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | MICHAEL KUPPER
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Credential | BS PHARMACY
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Telephone | 502-933-8444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | P07157
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License Number State | KY
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