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General NPI Number Information
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NPI Number | 1245709807
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Entity Type | Organization
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Legal Business Name | CONNECTED MEDICAL GROUP LLC
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Dates
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Enumeration Date | 11/13/2018
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 724 S 1600 W STE A
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City | MAPLETON
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State | UT
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Zip | 84664-4347
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Country | US
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Telephone | 385-498-0102
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Fax | 385-900-1668
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Provider Business Mailing Address
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Address Line | 617 W 1475 N
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City | OREM
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State | UT
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Zip | 84057-2505
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Country | US
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Telephone | 801-319-6102
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Fax | 385-900-1668
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Authorized Official
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Title or Position | OWNER
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Name | AUBRIE E.W. BROOKS
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Credential |
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Telephone | 385-498-0102
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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 |
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License Number State |
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