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General NPI Number Information
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NPI Number | 1548364516
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Entity Type | Organization
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Legal Business Name | KAMAS FOOD INC
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Dates
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Enumeration Date | 09/12/2006
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Last Update Date | 08/17/2018
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Provider Practice Location Address
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Address Line | 146 W 200 S
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City | KAMAS
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State | UT
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Zip | 84036
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Country | US
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Telephone | 435-783-4316
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Fax | 435-783-4370
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Provider Business Mailing Address
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Address Line | PO BOX 560
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City | KAMAS
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State | UT
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Zip | 84036-0560
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Country | US
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Telephone | 435-783-4316
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Fax | 435-783-4370
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Authorized Official
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Title or Position | VP
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Name | DENIS TANNER
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Credential | RPH
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Telephone | 435-783-4369
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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 | 6206816-1703
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License Number State | UT
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