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General NPI Number Information
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NPI Number | 1003772088
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Entity Type | Individual
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Provider Name | WILLIAM STASINIS DPT
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Gender | Male
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Dates
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Enumeration Date | 01/02/2026
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Last Update Date | 01/02/2026
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Provider Practice Location Address
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Address Line | 564 W 700 S STE 304
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City | PLEASANT GROVE
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State | UT
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Zip | 84062-3786
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Country | US
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Telephone | 385-237-4633
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Fax |
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Provider Business Mailing Address
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Address Line | 726 E 12200 S STE E
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City | DRAPER
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State | UT
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Zip | 84020-9131
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Country | US
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Telephone | 385-237-4633
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 14263386-2401
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License Number State | UT
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