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General NPI Number Information
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NPI Number | 1033209614
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Entity Type | Individual
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Provider Name | ELIOT ASHBY BRINTON MD
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Gender | Male
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 02/06/2018
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Provider Practice Location Address
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Address Line | 421 S WAKARA WAY STE 121
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City | SALT LAKE CITY
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State | UT
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Zip | 84108-1244
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Country | US
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Telephone | 801-583-8852
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Fax | 801-581-6862
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Provider Business Mailing Address
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Address Line | PO BOX 268
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City | BOUNTIFUL
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State | UT
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Zip | 84011-0268
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Country | US
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Telephone | 801-296-2113
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Fax | 801-296-1715
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 5353571-1205
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License Number State | UT
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