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General NPI Number Information
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NPI Number | 1447135975
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Entity Type | Organization
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Legal Business Name | DAVIS COUNTY GENERAL SURGERY, P.L.L.C
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Dates
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Enumeration Date | 08/05/2025
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 440 MEDICAL DR
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City | BOUNTIFUL
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State | UT
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Zip | 84010-4950
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Country | US
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Telephone | 801-499-0247
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Fax | 800-303-6743
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Provider Business Mailing Address
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Address Line | 440 MEDICAL DR
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City | BOUNTIFUL
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State | UT
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Zip | 84010-4950
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Country | US
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Telephone | 801-499-0247
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Fax | 800-303-6743
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Authorized Official
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Title or Position | OFFICE MANAGER/MA
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Name | CHRISTINE M FERNANDEZ
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Credential | MA
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Telephone | 801-499-0247
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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