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General NPI Number Information
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NPI Number | 1144013798
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Entity Type | Individual
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Provider Name | SAJA A ALSARRIEH
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Gender | Female
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Dates
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Enumeration Date | 05/27/2025
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 10 S 2000 E
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City | SALT LAKE CITY
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State | UT
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Zip | 84112-5880
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Country | US
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Telephone | 385-722-0926
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Fax |
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Provider Business Mailing Address
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Address Line | 1719 W DALE RIDGE AVE
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City | SALT LAKE CITY
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State | UT
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Zip | 84116-4146
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Country | US
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Telephone | 385-722-0926
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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 | 163WM0102X
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Taxonomy Name | Maternal Newborn Registered Nurse
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License Number | 12983350-3102
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License Number State | UT
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