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General NPI Number Information
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NPI Number | 1376447227
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Entity Type | Individual
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Provider Name | KRISTEN JUDITH MALEBRANCHE
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Gender | Female
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Dates
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Enumeration Date | 10/05/2026
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Last Update Date | 10/05/2026
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Provider Practice Location Address
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Address Line | 401 S 400 E
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City | BOUNTIFUL
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State | UT
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Zip | 84010-4933
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Country | US
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Telephone | 801-295-2361
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Fax |
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Provider Business Mailing Address
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Address Line | 1357 E BAER CANYON RD
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City | FRUIT HEIGHTS
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State | UT
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Zip | 84037-2377
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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 |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State | NULL
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