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General NPI Number Information
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NPI Number | 1225861693
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Entity Type | Individual
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Provider Name | SKYLER DUNN NICHOLAS FNP-BC
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Gender | Male
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Dates
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Enumeration Date | 08/21/2024
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 5290 S 400 E
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City | OGDEN
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State | UT
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Zip | 84405-7194
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Country | US
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Telephone | 801-476-1777
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Fax | 801-479-1479
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Provider Business Mailing Address
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Address Line | PO BOX 5546
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City | DENVER
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State | CO
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Zip | 80217-5546
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Country | US
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Telephone | 801-475-3500
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Fax | 801-475-3489
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 10357985-4405
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 10357985-4405
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License Number State | UT
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