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General NPI Number Information
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NPI Number | 1306795984
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Entity Type | Organization
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Legal Business Name | GFM HOLDINGS
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Dates
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Enumeration Date | 01/26/2026
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 1900 N STATE ST
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City | PROVO
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State | UT
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Zip | 84604-1341
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Country | US
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Telephone | 801-373-2001
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Fax |
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Provider Business Mailing Address
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Address Line | 1900 N STATE ST
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City | PROVO
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State | UT
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Zip | 84604-1341
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Country | US
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Telephone | 801-373-2001
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. HALEY JACKSON
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Credential | MD
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Telephone | 384-450-9540
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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