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General NPI Number Information
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NPI Number | 1174937296
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Entity Type | Individual
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Provider Name | NATHAN M ESHENRODER MD
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Gender | Male
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Dates
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Enumeration Date | 06/17/2014
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 201 W LAYTON PKWY
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City | LAYTON
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State | UT
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Zip | 84041-3692
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Country | US
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Telephone | 801-990-1911
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Fax |
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Provider Business Mailing Address
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Address Line | 3340 N CENTER ST STE 800
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City | LEHI
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State | UT
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Zip | 84043-7794
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Country | US
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Telephone | 801-990-1911
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | LL37111
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 6739191-1205
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 01097978A
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | R4217
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License Number State | TX
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