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General NPI Number Information
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NPI Number | 1134095151
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Entity Type | Organization
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Legal Business Name | CARE ANESTHESIA
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Dates
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Enumeration Date | 10/15/2025
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 5136 S COTTONWOOD LN
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City | HOLLADAY
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State | UT
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Zip | 84117-7102
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Country | US
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Telephone | 801-631-1312
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Fax |
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Provider Business Mailing Address
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Address Line | 5136 S COTTONWOOD LN
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City | HOLLADAY
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State | UT
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Zip | 84117-7102
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MITCHELL D DUCKWORTH
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Credential | DDS
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Telephone | 801-718-6395
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223D0004X
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Taxonomy Name | Dental Anesthesiology
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License Number |
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License Number State |
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