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General NPI Number Information
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NPI Number | 1477181733
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Entity Type | Individual
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Provider Name | RICHARD D BAVIER MD
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Gender | Male
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Dates
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Enumeration Date | 03/31/2020
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 30 N MARIO CAPECCHI DR RM 4S200
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City | SALT LAKE CITY
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State | UT
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Zip | 84112
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Country | US
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Telephone | 801-581-2121
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Fax |
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Provider Business Mailing Address
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Address Line | 30 N MARIO CAPECCHI DR RM 4S200
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City | SALT LAKE CITY
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State | UT
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Zip | 84112
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Country | US
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Telephone | 801-581-2121
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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 | 207YX0007X
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Taxonomy Name | Plastic Surgery within the Head & Neck (Otolaryngology) Physician
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License Number | 14215305-1205
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License Number State | UT
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