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General NPI Number Information
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NPI Number | 1326580366
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Entity Type | Individual
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Provider Name | GAYLA HARVEY R.N.
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Gender | Female
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Dates
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Enumeration Date | 11/08/2016
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Last Update Date | 11/08/2016
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Provider Practice Location Address
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Address Line | 6822 E 1000 S
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City | FT. DUCHENSE
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State | UT
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Zip | 84026
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Country | US
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Telephone | 435-725-6893
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 206
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City | LAPOINT
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State | UT
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Zip | 84039-0206
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Country | US
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Telephone | 435-828-3549
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 4777606-3102
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License Number State | UT
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