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General NPI Number Information
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NPI Number | 1477812949
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Entity Type | Organization
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Legal Business Name | MOUNTAIN VIEW FOOT AND ANKLE INSTITUTE PC
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Dates
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Enumeration Date | 05/03/2012
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Last Update Date | 09/14/2012
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Provider Practice Location Address
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Address Line | 6112 S 1550 E STE 201
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City | OGDEN
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State | UT
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Zip | 84405-5007
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Country | US
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Telephone | 801-479-7505
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Fax | 801-475-1855
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Provider Business Mailing Address
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Address Line | PO BOX 1249
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City | BOUNTIFUL
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State | UT
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Zip | 84011-1249
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Country | US
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Telephone | 801-296-2113
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Fax | 801-296-1715
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Authorized Official
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Title or Position | MANAGER
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Name | DR. DAVID B GLOVER
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Credential | DPM
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Telephone | 801-479-7505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 3704370501
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License Number State | UT
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