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General NPI Number Information
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NPI Number | 1417510645
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Entity Type | Individual
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Provider Name | CYNTHIA LYN KERR BPHARM
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Gender | Female
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Dates
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Enumeration Date | 04/14/2019
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Last Update Date | 04/14/2019
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Provider Practice Location Address
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Address Line | 2255 N UNIVERSITY PKWY
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City | PROVO
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State | UT
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Zip | 84604-1588
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Country | US
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Telephone | 385-219-3077
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Fax | 385-219-3071
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Provider Business Mailing Address
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Address Line | 7577 W CABALLO CV
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City | HERRIMAN
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State | UT
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Zip | 84096-1235
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Country | US
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Telephone | 801-455-7663
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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 | 274699-1701
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License Number State | UT
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