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General NPI Number Information
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NPI Number | 1063306017
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Entity Type | Individual
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Provider Name | CELIA NICOLE MARIE JOTTE BSN
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Gender | Female
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Dates
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Enumeration Date | 06/04/2025
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 10 S 2000 E
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City | SALT LAKE CITY
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State | UT
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Zip | 84112-5880
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Country | US
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Telephone | 801-581-3414
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Fax |
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Provider Business Mailing Address
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Address Line | 1828 S 1100 E APT 1
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City | SALT LAKE CITY
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State | UT
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Zip | 84105-3462
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Country | US
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Telephone | 720-315-2173
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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 | 163WW0101X
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Taxonomy Name | Ambulatory Women's Health Care Registered Nurse
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License Number | 14082342-3102
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License Number State | UT
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