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General NPI Number Information
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NPI Number | 1073493425
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Entity Type | Individual
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Provider Name | HEIDI LEE WELCH FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/05/2025
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 2750 E COTTONWOOD PKWY STE 540
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City | COTTONWOOD HEIGHTS
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State | UT
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Zip | 84121-7298
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Country | US
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Telephone | 801-278-9062
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Fax |
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Provider Business Mailing Address
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Address Line | 2015 E ASHLEY RIDGE RD
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City | SANDY
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State | UT
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Zip | 84092-7260
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Country | US
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Telephone | 801-824-9393
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 12379690-4405
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 12379690-3102
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License Number State | UT
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