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General NPI Number Information
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NPI Number | 1417844234
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Entity Type | Individual
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Provider Name | JAMIE MUIRBROOK NP
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Gender | Female
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Dates
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Enumeration Date | 06/23/2025
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 629 MARE DR
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City | KAYSVILLE
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State | UT
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Zip | 84037-6852
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Country | US
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Telephone | 801-635-8707
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Fax |
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Provider Business Mailing Address
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Address Line | 629 MARE DR
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City | KAYSVILLE
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State | UT
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Zip | 84037-6852
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 10819758-4405
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 332070
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License Number State | AZ
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