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General NPI Number Information
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NPI Number | 1174804504
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Entity Type | Organization
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Legal Business Name | MARK T SAUNDERS MD LC
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Dates
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Enumeration Date | 08/30/2011
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Last Update Date | 08/30/2011
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Provider Practice Location Address
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Address Line | 48 NORTH 1100 EAST SUITE A
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City | AMERICAN FORK
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State | UT
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Zip | 84003-2910
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Country | US
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Telephone | 801-692-1429
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Fax |
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Provider Business Mailing Address
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Address Line | 48 NORTH 1100 EAST SUITE A
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City | AMERICAN FORK
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State | UT
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Zip | 84003-2910
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Country | US
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Telephone | 801-692-1429
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Fax |
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Authorized Official
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Title or Position | OWNER/MD
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Name | MARK T SAUNDERS
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Credential | MD
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Telephone | 801-692-1429
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 2950191205
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License Number State | UT
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