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Individual
DR. TABEN MAIN
Active
Individual
DR. TABEN MAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, MS
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
1-15406
KS
183500000X
Pharmacist
Primary
6617221-1701
UT
183500000X
Pharmacist
RPH-0014364
OR
Other
Enumeration date
06/29/2016
Last updated
06/29/2016
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