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General NPI Number Information
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NPI Number | 1114002151
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Entity Type | Individual
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Provider Name | ANNA M DAY FNP
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Gender | Female
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 10/27/2009
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Provider Practice Location Address
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Address Line | 799 SO 200 W
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City | BLANDING
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State | UT
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Zip | 84511
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Country | US
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Telephone | 435-678-3601
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Fax | 435-678-3610
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Provider Business Mailing Address
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Address Line | 5606 INDIAN ROCK RD
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City | SALT LAKE CITY
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State | UT
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Zip | 84117-7822
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Country | US
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Telephone | 801-232-5266
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Fax | 435-678-3610
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 3382654405
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License Number State | UT
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