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General NPI Number Information
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NPI Number | 1073909594
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Entity Type | Organization
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Legal Business Name | SPENCER J HARDENBROOK MD PC
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Dates
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Enumeration Date | 04/10/2015
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 12176 S 1000 E STE 4
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City | DRAPER
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State | UT
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Zip | 84020-3221
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Country | US
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Telephone | 800-640-3451
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Fax | 385-287-1900
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Provider Business Mailing Address
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Address Line | PO BOX 1200
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City | PLEASANT GROVE
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State | UT
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Zip | 84062-1200
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Country | US
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Telephone | 800-640-3451
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Fax | 385-287-1900
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MARIANA ANDERSON HANKINS
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Credential |
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Telephone | 801-888-1140
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 88335211205
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License Number State | UT
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