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General NPI Number Information
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NPI Number | 1457183568
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Entity Type | Individual
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Provider Name | ALLYSON HARRIS
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Gender | Female
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Dates
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Enumeration Date | 08/16/2024
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Last Update Date | 10/18/2024
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Provider Practice Location Address
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Address Line | 5710 W 7800 S
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City | WEST JORDAN
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State | UT
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Zip | 84081-5400
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Country | US
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Telephone | 801-545-3480
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Fax |
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Provider Business Mailing Address
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Address Line | 170 N 200 E
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City | DELTA
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State | UT
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Zip | 84624-9461
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Country | US
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Telephone | 435-406-4809
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 11868777-1701
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License Number State | UT
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