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NPI 1871638817

NPI 1871638817 : KAMI M CREER RPH : PROVO, UT

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General NPI Number Information
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    NPI Number           |    1871638817
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    Entity Type          |    Individual 
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    Provider Name        |    KAMI M CREER RPH
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/20/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    350 N FREEDOM BLVD 
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    City                 |    PROVO
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    State                |    UT
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    Zip                  |    84601-2810
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    Country              |    US
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    Telephone            |    801-377-9250
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    362 S 1200 E 
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    City                 |    SPRINGVILLE
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    State                |    UT
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    Zip                  |    84663-5101
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    Country              |    US
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    Telephone            |    801-489-0771
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    Fax                  |    
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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        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    152978
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    License Number State |    UT
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