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NPI 1003710989

NPI 1003710989 : PERI HEALTH & HORMONES : DRAPER, UT

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General NPI Number Information
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    NPI Number           |    1003710989
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    Entity Type          |    Organization 
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    Legal Business Name  |    PERI HEALTH & HORMONES 
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Dates
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    Enumeration Date     |    10/05/2026
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    Last Update Date     |    10/05/2026
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Provider Practice Location Address
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    Address Line         |    807 E PIONEER RD UNIT 105 
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    City                 |    DRAPER
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    State                |    UT
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    Zip                  |    84020-9343
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    Country              |    US
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    Telephone            |    480-686-0000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2196 E FAIR WINNS LN 
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    City                 |    DRAPER
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    State                |    UT
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    Zip                  |    84020-2528
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. ROSCOE SCOTT NELSON 
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    Credential           |    MD
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    Telephone            |    480-686-5090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208800000X
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    Taxonomy Name        |    Urology Physician
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    License Number       |    
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    License Number State |    NULL
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