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General NPI Number Information
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NPI Number | 1144754938
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF UTAH ADULT SERVICES
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Dates
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Enumeration Date | 04/18/2017
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Last Update Date | 01/22/2021
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Provider Practice Location Address
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Address Line | 2360 MULLAN RD SUITE C
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City | MISSOULA
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State | MT
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Zip | 59808-1811
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Country | US
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Telephone | 406-542-9695
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 841450
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City | LOS ANGELES
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State | CA
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Zip | 90084-1450
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Country | US
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Telephone | 801-213-3900
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Fax |
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Authorized Official
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Title or Position | CHIEF CLINICAL OFFICER
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Name | DR. SAMUEL FINLAYSON
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Credential | MD
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Telephone | 801-587-6336
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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