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1215720511 NPI number — HUNTER PARDUHN PA-C

NPI Number: 1215720511
Health Care Provider/Practitioner: HUNTER PARDUHN PA-C

Information about “1215720511” NPI (HUNTER PARDUHN PA-C) exists in 1215720511 in HTML format HTML  |  1215720511 in plain Text format TXT  |  1215720511 in PDF (Portable Document Format) PDF  |  1215720511 in an XML format XML  formats.

NPI Number : 1215720511 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1215720511",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PARDUHN",
    "FirstName": "HUNTER",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PA-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "6078 W 10930 N",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HIGHLAND",
    "MailingAddressStateName": "UT",
    "MailingAddressPostalCode": "84003-9562",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1248 E 90 N # 300",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "AMERICAN FORK",
    "PracticeLocationAddressStateName": "UT",
    "PracticeLocationAddressPostalCode": "84003-2956",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "801-756-9635",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/28/2025",
    "LastUpdateDate": "05/28/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363AM0700X",
          "TaxonomyName": "Medical Physician Assistant",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "UT",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363AS0400X",
          "TaxonomyName": "Surgical Physician Assistant",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "UT",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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