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General NPI Number Information
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NPI Number | 1043956949
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Entity Type | Individual
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Provider Name | MEGAN C PHELPS MD
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Gender | Female
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Dates
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Enumeration Date | 05/12/2022
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 220 W 7200 S STE A
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City | MIDVALE
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State | UT
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Zip | 84047-1053
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Country | US
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Telephone | 801-566-5494
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Fax | 877-497-4661
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Provider Business Mailing Address
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Address Line | 1455 W 2200 S STE 300
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City | WEST VALLEY CITY
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State | UT
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Zip | 84119-7219
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Country | US
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Telephone | 801-412-6920
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Fax | 877-497-4661
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MRM-2142
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 14205133-1205
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License Number State | UT
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