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General NPI Number Information
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NPI Number | 1053209825
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF UTAH
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Dates
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Enumeration Date | 06/27/2025
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 243 E 6100 S
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City | MURRAY
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State | UT
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Zip | 84107-7302
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Country | US
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Telephone | 801-587-6334
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Fax | 801-587-2996
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Provider Business Mailing Address
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Address Line | 127 S 500 E STE 430A
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City | SALT LAKE CITY
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State | UT
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Zip | 84102-1978
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Country | US
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Telephone | 801-587-6334
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Fax | 801-587-2996
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Authorized Official
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Title or Position | ADMINISTRATIVE SERVICES MANAGER
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Name | KELLEE K HOWELL
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Credential | CPHT
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Telephone | 801-587-6334
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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