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General NPI Number Information
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NPI Number | 1093647125
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Entity Type | Individual
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Provider Name | TREVOR ATCHISON
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Gender | Male
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Dates
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Enumeration Date | 06/02/2026
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Last Update Date | 06/02/2026
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Provider Practice Location Address
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Address Line | 21360 N 1450 E
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City | MORONI
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State | UT
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Zip | 84646-7629
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Country | US
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Telephone | 435-262-1217
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Fax |
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Provider Business Mailing Address
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Address Line | HC 13 BOX 4236
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City | FAIRVIEW
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State | UT
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Zip | 84629-9622
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Country | US
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Telephone | 801-471-3080
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State | UT
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