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General NPI Number Information
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NPI Number | 1235990565
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Entity Type | Individual
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Provider Name | CARLEY ANN FLORENCE APRN, AGPCNP-C
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Gender | Female
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Dates
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Enumeration Date | 01/23/2024
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 623 E FORT UNION BLVD STE 105
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City | MIDVALE
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State | UT
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Zip | 84047-5529
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Country | US
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Telephone | 385-412-1660
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Fax | 800-856-3698
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Provider Business Mailing Address
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Address Line | 623 E FORT UNION BLVD STE 105
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City | MIDVALE
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State | UT
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Zip | 84047-5529
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Country | US
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Telephone | 385-412-1660
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Fax | 800-856-3698
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 10160707-3102
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 10160707-4405
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 10160707-4405
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License Number State | UT
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