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General NPI Number Information
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NPI Number | 1154909679
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Entity Type | Organization
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Legal Business Name | ON-POINT MEDICAL CARE
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Dates
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Enumeration Date | 03/29/2021
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Last Update Date | 03/29/2021
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Provider Practice Location Address
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Address Line | 22 N 100 E
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City | SPANISH FORK
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State | UT
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Zip | 84660-1802
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Country | US
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Telephone | 801-798-5359
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Fax |
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Provider Business Mailing Address
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Address Line | 1626 E 1100 S
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City | SPRINGVILLE
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State | UT
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Zip | 84663-3242
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Country | US
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Telephone | 210-323-5245
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BRIAN ANDREW PAULSON
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Credential | PAC
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Telephone | 210-323-5245
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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 |
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License Number State |
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