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General NPI Number Information
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NPI Number | 1467241554
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF UTAH COMMUNITY PHYSICIANS GROUP
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Dates
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Enumeration Date | 05/05/2025
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 168 N 1950 W STE 201
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City | SALT LAKE CITY
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State | UT
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Zip | 84116-3007
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Country | US
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Telephone | 801-213-2537
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 841450
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City | LOS ANGELES
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State | CA
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Zip | 90084-1450
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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 | CHAIR
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Name | PETER WEIR
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Credential | MD
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Telephone | 801-587-6336
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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