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General NPI Number Information
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NPI Number | 1427273705
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Entity Type | Organization
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Legal Business Name | UTAH HEMATOLOGY ONCOLOGY PC
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Dates
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Enumeration Date | 04/13/2007
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Last Update Date | 09/06/2007
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Provider Practice Location Address
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Address Line | 4403 HARRISON BLVD STE 1685
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City | OGDEN
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State | UT
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Zip | 84403-3274
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Country | US
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Telephone | 801-387-7150
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Fax | 801-387-7155
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Provider Business Mailing Address
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Address Line | 4403 HARRISON BLVD STE 1685
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City | OGDEN
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State | UT
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Zip | 84403-3274
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Country | US
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Telephone | 801-387-7150
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Fax | 801-387-7155
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Authorized Official
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Title or Position | SECRETARY
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Name | DR. HAROLD M JOHNSON
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Credential | MD
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Telephone | 801-476-1777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State |
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