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General NPI Number Information
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NPI Number | 1538467360
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Entity Type | Organization
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Legal Business Name | MOYER HOLDINGS LLC
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Dates
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Enumeration Date | 03/02/2011
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Last Update Date | 04/07/2011
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Provider Practice Location Address
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Address Line | 2940 W MAPLE LOOP DR SUITE 304A
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City | LEHI
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State | UT
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Zip | 84043-5661
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Country | US
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Telephone | 801-997-0532
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Fax | 801-407-1676
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Provider Business Mailing Address
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Address Line | 2940 W MAPLE LOOP DR SUITE 304A
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City | LEHI
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State | UT
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Zip | 84043-5661
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Country | US
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Telephone | 801-997-0532
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Fax | 801-407-1676
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Authorized Official
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Title or Position | OWNER
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Name | JASON MOYER
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Credential |
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Telephone | 801-358-0009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 7903034-1704
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License Number State | UT
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