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General NPI Number Information
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NPI Number | 1285575241
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Entity Type | Individual
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Provider Name | DEBORAH LARSEN SAX RN
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Gender | Female
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Dates
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Enumeration Date | 04/03/2026
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Last Update Date | 04/03/2026
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Provider Practice Location Address
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Address Line | 127 S 500 E
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City | SALT LAKE CITY
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State | UT
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Zip | 84102-1978
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Country | US
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Telephone | 801-581-2121
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Fax |
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Provider Business Mailing Address
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Address Line | 10400 S DIMPLE DELL RD
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City | SANDY
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State | UT
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Zip | 84092-4534
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Country | US
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Telephone | 801-599-5749
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Fax |
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 340780-3102
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License Number State | UT
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