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General NPI Number Information
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NPI Number | 1023689080
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Entity Type | Individual
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Provider Name | REBECCA DAWN ROY FNP-C
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Gender | Female
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Dates
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Enumeration Date | 07/09/2021
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 14658 S BANGERTER PKWY STE 200
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City | DRAPER
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State | UT
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Zip | 84020-5023
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Country | US
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Telephone | 801-839-5557
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Fax | 801-719-2281
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Provider Business Mailing Address
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Address Line | 8909 S SHADY MEADOW DR
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City | SANDY
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State | UT
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Zip | 84093-7003
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Country | US
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Telephone | 801-319-0400
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 351117-4405
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License Number State | UT
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