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General NPI Number Information
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NPI Number | 1063057529
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Entity Type | Individual
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Provider Name | JULIE PHILLIPS
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Gender | Female
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Dates
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Enumeration Date | 11/08/2019
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Last Update Date | 11/08/2019
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Provider Practice Location Address
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Address Line | 1316 N HIGHWAY 89
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City | FARMINGTON
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State | UT
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Zip | 84025-3841
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Country | US
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Telephone | 801-451-2900
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Fax | 801-451-7607
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Provider Business Mailing Address
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Address Line | 1594 TUSCANY COVE DR
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City | FARMINGTON
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State | UT
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Zip | 84025-2049
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Country | US
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Telephone | 801-726-0654
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Fax |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 260332-1701
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License Number State | UT
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