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General NPI Number Information
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NPI Number | 1396359345
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Entity Type | Individual
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Provider Name | TANNAZ SABET NP-C
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Gender | Female
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Dates
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Enumeration Date | 09/06/2020
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Last Update Date | 09/06/2020
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Provider Practice Location Address
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Address Line | 1255 E 3900 S
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City | MILLCREEK
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State | UT
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Zip | 84124-1365
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Country | US
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Telephone | 801-269-8200
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Fax |
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Provider Business Mailing Address
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Address Line | 1027 S VISTA VIEW DR
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City | SLC
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State | UT
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Zip | 84108-2522
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Country | US
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Telephone | 801-891-1664
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 3741854405
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License Number State | UT
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