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General NPI Number Information
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NPI Number | 1942460282
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Entity Type | Individual
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Provider Name | ROLAND C FITTS PHARMD
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Gender | Male
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Dates
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Enumeration Date | 06/10/2008
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Last Update Date | 06/10/2008
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Provider Practice Location Address
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Address Line | 11479 S STATE ST
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City | DRAPER
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State | UT
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Zip | 84020-9452
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Country | US
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Telephone | 801-619-0650
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Fax |
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Provider Business Mailing Address
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Address Line | 11509 SWEET BERRY DR
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City | DRAPER
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State | UT
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Zip | 84020-6865
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Country | US
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Telephone | 801-501-7828
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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 | 373659-1701
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License Number State | UT
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