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General NPI Number Information
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NPI Number | 1518497353
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Entity Type | Organization
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Legal Business Name | KANE RX INC
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Dates
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Enumeration Date | 06/14/2017
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Last Update Date | 05/03/2018
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Provider Practice Location Address
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Address Line | 3944 SOUTH STRAITS HWY
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City | INDIAN RIVER
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State | MI
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Zip | 49749
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Country | US
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Telephone | 231-238-2499
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Fax | 231-238-2496
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Provider Business Mailing Address
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Address Line | PO BOX 345
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City | CHEBOYGAN
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State | MI
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Zip | 49721-0345
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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 | GERALYN KANE
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Credential |
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Telephone | 231-627-9949
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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 |
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License Number State |
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