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General NPI Number Information
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NPI Number | 1821303579
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Entity Type | Individual
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Provider Name | LAYNE R KILPATRICK RPH
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Gender | Male
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Dates
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Enumeration Date | 08/18/2010
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Last Update Date | 02/16/2015
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Provider Practice Location Address
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Address Line | 392 E 12300 S SUITE A
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City | DRAPER
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State | UT
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Zip | 84020-8181
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Country | US
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Telephone | 801-278-9008
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Fax | 801-849-0399
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Provider Business Mailing Address
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Address Line | PO BOX 1344
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City | DRAPER
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State | UT
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Zip | 84020-1344
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Country | US
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Telephone | 801-278-9008
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Fax | 801-849-0399
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 151154-1701
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License Number State | UT
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