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General NPI Number Information
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NPI Number | 1508819814
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Entity Type | Individual
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Provider Name | BETH MCCARTHY PHARM D
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Gender | Female
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1743 REDSTONE CENTER DR SUITE 115
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City | PARK CITY
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State | UT
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Zip | 84098-7600
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Country | US
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Telephone | 435-658-9280
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Fax |
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Provider Business Mailing Address
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Address Line | 7974 SPRINGSHIRE DR
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City | PARK CITY
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State | UT
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Zip | 84098-5396
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Country | US
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Telephone | 435-655-0180
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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 | 5234797-1701
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License Number State | UT
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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 | 5055
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License Number State | MT
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