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General NPI Number Information
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NPI Number | 1558943605
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Entity Type | Organization
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Legal Business Name | CARETHERA
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Dates
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Enumeration Date | 04/27/2021
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Last Update Date | 04/27/2021
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Provider Practice Location Address
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Address Line | 1220 E 3900 S STE 1H
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City | SALT LAKE CITY
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State | UT
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Zip | 84124-1327
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Country | US
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Telephone | 801-808-6563
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Fax |
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Provider Business Mailing Address
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Address Line | 1220 E 3900 S STE 1H
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City | SALT LAKE CITY
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State | UT
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Zip | 84124-1327
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Country | US
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Telephone | 801-808-6563
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Fax |
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | DR. ASJAD KALEEM MOHAMMED
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Credential | RPH PHD
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Telephone | 801-808-6563
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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 |
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License Number State |
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