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General NPI Number Information
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NPI Number | 1326212234
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Entity Type | Organization
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Legal Business Name | R SCOTT HAUPT MD PC
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Dates
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Enumeration Date | 04/22/2008
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Last Update Date | 03/19/2009
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Provider Practice Location Address
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Address Line | 5292 COLLEGE DR #302
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City | MURRAY
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State | UT
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Zip | 84123-2672
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Country | US
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Telephone | 801-293-8100
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Fax |
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Provider Business Mailing Address
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Address Line | 5292 COLLEGE DR #302
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City | MURRAY
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State | UT
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Zip | 84123-2672
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Country | US
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Telephone | 801-293-8100
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | R SCOTT HAUPT
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Credential | MD
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Telephone | 801-293-8100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 2742511205
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License Number State | UT
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