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General NPI Number Information
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NPI Number | 1104115476
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF UTAH
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Dates
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Enumeration Date | 04/07/2011
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Last Update Date | 04/07/2011
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Provider Practice Location Address
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Address Line | 470 N HARBOR DR NW
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City | ATLANTA
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State | GA
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Zip | 30328-2751
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Country | US
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Telephone | 678-231-8712
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Fax |
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Provider Business Mailing Address
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Address Line | 470 N HARBOR DR NW
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City | ATLANTA
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State | GA
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Zip | 30328-2751
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Country | US
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Telephone | 678-231-8712
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Fax |
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Authorized Official
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Title or Position | GME DIRECTOR
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Name | DR. ALAN SMITH
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Credential | M.D.
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Telephone | 801-581-2401
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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