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General NPI Number Information
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NPI Number | 1487726006
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Entity Type | Organization
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Legal Business Name | TKM CORPORATION
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 01/28/2009
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Provider Practice Location Address
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Address Line | 1275 S 2ND ST SUITE A
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City | RATON
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State | NM
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Zip | 87740-2234
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Country | US
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Telephone | 575-445-0075
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Fax |
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Provider Business Mailing Address
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Address Line | 1275 S 2ND ST SUITE A
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City | RATON
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State | NM
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Zip | 87740-2234
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KARIN M MURRAY
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Credential | RPH
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Telephone | 575-445-0075
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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 | PH00001757
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License Number State | NM
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