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General NPI Number Information
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NPI Number | 1083563027
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Entity Type | Individual
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Provider Name | DANIEL LONGMORE
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Gender | Male
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Dates
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Enumeration Date | 01/23/2026
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Last Update Date | 01/23/2026
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Provider Practice Location Address
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Address Line | 1350 E 750 N
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City | OREM
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State | UT
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Zip | 84097-4345
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Country | US
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Telephone | 801-852-3880
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Fax |
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Provider Business Mailing Address
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Address Line | 1292 E 1520 S
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City | SPANISH FORK
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State | UT
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Zip | 84660-5942
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Country | US
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Telephone | 208-242-7685
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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 | 1835P1300X
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Taxonomy Name | Psychiatric Pharmacist
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License Number | 7971670-1701
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License Number State | UT
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