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General NPI Number Information
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NPI Number | 1891700498
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Entity Type | Organization
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Legal Business Name | K AND A HOLDINGS
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 07/27/2007
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Provider Practice Location Address
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Address Line | 4658 HOLLADAY BLVD
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City | SALT LAKE CITY
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State | UT
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Zip | 84117-5209
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Country | US
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Telephone | 801-277-2696
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Fax |
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Provider Business Mailing Address
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Address Line | 4658 HOLLADAY BLVD
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City | SALT LAKE CITY
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State | UT
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Zip | 84117-5209
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Country | US
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Telephone | 801-277-2696
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KERRY BROWN
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Credential | RPH
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Telephone | 801-877-2696
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 891318371703
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License Number State | UT
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