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General NPI Number Information
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NPI Number | 1417101296
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Entity Type | Individual
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Provider Name | SADIE M WEST M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/06/2008
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Last Update Date | 05/20/2015
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Provider Practice Location Address
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Address Line | 3723 WEST 12600 SOUTH SUITE 450
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City | RIVERTON
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State | UT
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Zip | 84065
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Country | US
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Telephone | 801-285-4540
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Fax |
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Provider Business Mailing Address
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Address Line | 1774 E LONGBRANCH DR
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City | DRAPER
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State | UT
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Zip | 84020-5585
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Country | US
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Telephone | 801-910-4161
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 8660A
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License Number State | WY
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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