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General NPI Number Information
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NPI Number | 1063752855
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Entity Type | Organization
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Legal Business Name | MD ECF SERVICES
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Dates
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Enumeration Date | 02/15/2013
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Last Update Date | 02/15/2013
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Provider Practice Location Address
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Address Line | 2942 S 2000 W
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City | SYRACUSE
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State | UT
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Zip | 84075-8937
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Country | US
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Telephone | 801-664-2184
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Fax |
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Provider Business Mailing Address
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Address Line | 2942 S 2000 W
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City | SYRACUSE
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State | UT
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Zip | 84075-8937
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Country | US
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Telephone | 801-664-2184
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DENNIS PORTER LAW
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Credential | MD
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Telephone | 801-664-2184
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 7932637-1205
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 7932637-1205
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License Number State | UT
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