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General NPI Number Information
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NPI Number | 1811079619
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Entity Type | Organization
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Legal Business Name | KAUP PHARMACY, INC.
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 09/04/2024
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Provider Practice Location Address
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Address Line | 1201 COMMERCE STREET
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City | FT. RECOVERY
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State | OH
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Zip | 45846
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Country | US
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Telephone | 419-375-7007
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Fax | 419-375-9104
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Provider Business Mailing Address
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Address Line | PO BOX 605
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City | FORT RECOVERY
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State | OH
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Zip | 45846-0605
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Country | US
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Telephone | 419-375-7007
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Fax | 419-375-9104
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Authorized Official
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Title or Position | PRESIDENT
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Name | JASON C ANDREWS
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Credential |
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Telephone | 419-375-7007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 54013006
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License Number State | OH
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