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General NPI Number Information
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NPI Number | 1962974832
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Entity Type | Individual
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Provider Name | MICHAEL AARON KANUPP PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 12/17/2018
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Last Update Date | 12/17/2018
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Provider Practice Location Address
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Address Line | 128 CROSS ROAD DR
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City | MILLS RIVER
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State | NC
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Zip | 28759-5508
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Country | US
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Telephone | 828-891-4584
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 654
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City | SKYLAND
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State | NC
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Zip | 28776-0654
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Country | US
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Telephone | 828-776-0679
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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 | 28252
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License Number State | NC
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