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General NPI Number Information
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NPI Number | 1225954548
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Entity Type | Organization
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Legal Business Name | WASATCH PEAKS ANESTHESIA, LLC
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Dates
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Enumeration Date | 06/29/2026
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Last Update Date | 06/29/2026
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Provider Practice Location Address
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Address Line | 11762 S STATE ST STE 240
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City | DRAPER
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State | UT
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Zip | 84020-7156
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Country | US
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Telephone | 801-380-8886
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Fax |
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Provider Business Mailing Address
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Address Line | 1246 S 260 W
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City | PAYSON
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State | UT
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Zip | 84651-8685
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Country | US
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Telephone | 801-380-8886
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. JARED ROBINSON
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Credential |
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Telephone | 801-380-8886
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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