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General NPI Number Information
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NPI Number | 1477407955
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Entity Type | Individual
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Provider Name | CHAD BURNHAM PHARMD
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Gender | Male
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Dates
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Enumeration Date | 02/23/2026
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Last Update Date | 02/23/2026
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Provider Practice Location Address
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Address Line | 815 W STATE RD
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City | PLEASANT GROVE
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State | UT
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Zip | 84062-2101
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Country | US
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Telephone | 801-922-4256
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Fax |
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Provider Business Mailing Address
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Address Line | 5918 SHEPHERDS PATH RD
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City | HIGHLAND
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State | UT
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Zip | 84003-4600
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Country | US
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Telephone | 801-870-5815
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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 | 7349798-1701
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License Number State | UT
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