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General NPI Number Information
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NPI Number | 1144013905
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Entity Type | Individual
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Provider Name | JOSEPH PACKARD DDS
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Gender | Male
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Dates
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Enumeration Date | 05/26/2025
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Last Update Date | 05/26/2025
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Provider Practice Location Address
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Address Line | 3505 W 4800 S
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City | ROY
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State | UT
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Zip | 84067
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Country | US
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Telephone | 801-985-3300
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Fax |
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Provider Business Mailing Address
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Address Line | 3487 SOUTH 3150 WEST
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City | WEST HAVEN
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State | UT
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Zip | 84401
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Country | US
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Telephone | 385-209-9868
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 14224016-9926
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License Number State | UT
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