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General NPI Number Information
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NPI Number | 1184587958
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Entity Type | Individual
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Provider Name | ALEXZANDER COLT ESTEP LPN, CPHT
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Gender | Male
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 1200 E 3900 S
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City | SALT LAKE CITY
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State | UT
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Zip | 84124-1300
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Country | US
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Telephone | 801-268-7111
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Fax |
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Provider Business Mailing Address
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Address Line | 600 HINKSEY DR UNIT 1408
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City | MYRTLE BEACH
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State | SC
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Zip | 29588-2414
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Country | US
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Telephone |
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 72490
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License Number State |
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Taxonomy #2
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Taxonomy Code | 364SC0200X
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Taxonomy Name | Critical Care Medicine Clinical Nurse Specialist
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License Number | 14091279-1723
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License Number State | UT
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