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General NPI Number Information
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NPI Number | 1053243444
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Entity Type | Organization
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Legal Business Name | SALT LAKE ORTHOPAEDIC SPECIALIST, LLC
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Dates
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Enumeration Date | 06/01/2026
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Last Update Date | 06/01/2026
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Provider Practice Location Address
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Address Line | 861 N 980 W
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City | OREM
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State | UT
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Zip | 84057-7710
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Country | US
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Telephone | 801-829-7246
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Fax | 801-655-9615
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Provider Business Mailing Address
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Address Line | PO BOX 30015 DEPT 379
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City | SALT LAKE CTY
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State | UT
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Zip | 84130
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Country | US
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Telephone | 801-505-0821
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Fax | 801-505-0803
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Authorized Official
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Title or Position | MD/OWNER
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Name | BRENT A FELIX
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Credential |
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Telephone | 801-284-8626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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