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General NPI Number Information
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NPI Number | 1407763865
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Entity Type | Organization
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Legal Business Name | GUARDIAN SPORTS MEDICINE & FAMILY HEALTH
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Dates
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Enumeration Date | 08/24/2026
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Last Update Date | 08/24/2026
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Provider Practice Location Address
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Address Line | 1268 SOUTH INTERSTATE DR SUITE 201
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City | CEDAR CITY
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State | UT
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Zip | 84720
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Country | US
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Telephone | 614-598-9258
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Fax |
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Provider Business Mailing Address
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Address Line | 3894 W 1225 N
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City | CEDAR CITY
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State | UT
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Zip | 84721-8399
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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 | OWNER
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Name | NATHANIEL NYE
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Credential |
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Telephone | 614-598-9258
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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