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General NPI Number Information
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NPI Number | 1366313116
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Entity Type | Organization
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Legal Business Name | URGENT ACCESS UTAH PLLC
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Dates
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Enumeration Date | 09/15/2025
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 540 S 820 E
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City | HEBER CITY
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State | UT
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Zip | 84032-3945
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Country | US
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Telephone | 435-709-8835
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Fax |
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Provider Business Mailing Address
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Address Line | 540 S 820 E
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City | HEBER CITY
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State | UT
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Zip | 84032-3945
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DANIEL AVERY
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Credential |
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Telephone | 801-592-1773
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number |
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License Number State |
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