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General NPI Number Information
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NPI Number | 1649497538
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Entity Type | Organization
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Legal Business Name | PHARMACEUTICAL AND DIAGNOSTIC SERVICES INC
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 03/27/2008
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Provider Practice Location Address
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Address Line | 1152 W 2240 S
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City | WEST VALLEY CITY
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State | UT
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Zip | 84119-7236
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Country | US
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Telephone | 801-485-3344
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Fax | 801-485-1982
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Provider Business Mailing Address
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Address Line | 1152 W 2240 S
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City | WEST VALLEY CITY
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State | UT
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Zip | 84119-7236
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Country | US
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Telephone | 801-485-3344
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Fax | 801-485-1982
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Authorized Official
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Title or Position | OWNER AND MANGER
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Name | MR. WILLIAM J BAKER
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Credential | RPH
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Telephone | 801-485-3344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336N0007X
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Taxonomy Name | Nuclear Pharmacy
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License Number | 5738619-1710
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 3336N0007X
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Taxonomy Name | Nuclear Pharmacy
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License Number | 5738405-1704
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License Number State | UT
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