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NPI 1336280759

NPI 1336280759 : MICHAEL S CURTIS MD : LINDON, UT

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General NPI Number Information
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    NPI Number           |    1336280759
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    Entity Type          |    Individual 
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    Provider Name        |    MICHAEL S CURTIS MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/09/2007
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    Last Update Date     |    04/29/2013
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Provider Practice Location Address
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    Address Line         |    275 W 200 N 
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    City                 |    LINDON
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    State                |    UT
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    Zip                  |    84042-1809
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    Country              |    US
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    Telephone            |    801-796-1333
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    Fax                  |    801-443-1164
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Provider Business Mailing Address
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    Address Line         |    830 N 2000 W 
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    City                 |    PLEASANT GROVE
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    State                |    UT
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    Zip                  |    84062-4047
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    Country              |    US
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    Telephone            |    801-756-3511
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    Fax                  |    801-443-1164
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    5601393-1205
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    License Number State |    UT
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