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General NPI Number Information
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NPI Number | 1033069836
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Entity Type | Organization
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Legal Business Name | ERA DERMATOLOGY, LLC
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Dates
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Enumeration Date | 01/30/2026
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 195 N STATE ST # 250
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City | LINDON
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State | UT
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Zip | 84042-1898
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Country | US
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Telephone | 801-358-7518
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Fax |
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Provider Business Mailing Address
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Address Line | 195 N STATE ST STE 250
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City | LINDON
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State | UT
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Zip | 84042-1898
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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 | FNP
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Name | CARLA RUF
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Credential | FNP
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Telephone | 801-358-7518
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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