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General NPI Number Information
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NPI Number | 1326692476
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Entity Type | Individual
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Provider Name | MEGAN JANE PAXMAN NP-C
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Gender | Female
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Dates
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Enumeration Date | 07/26/2019
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 722 SHEPARD LN STE 102
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City | FARMINGTON
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State | UT
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Zip | 84025-3845
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Country | US
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Telephone | 385-988-3965
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Fax |
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Provider Business Mailing Address
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Address Line | 10848 S FERN RIDGE DR
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City | SOUTH JORDAN
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State | UT
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Zip | 84009-7764
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Country | US
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Telephone | 801-910-9797
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5147699-4405
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License Number State | UT
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