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General NPI Number Information
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NPI Number | 1497545735
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Entity Type | Individual
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Provider Name | HADLIE ANN MAIR FNP-C
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Gender | Female
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Dates
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Enumeration Date | 05/09/2025
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | 1784 UINTA WAY
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City | PARK CITY
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State | UT
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Zip | 84098-7669
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Country | US
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Telephone | 16-043-5604
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Fax |
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Provider Business Mailing Address
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Address Line | 359 RIVER BLUFFS DR
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City | FRANCIS
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State | UT
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Zip | 84036-5104
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Country | US
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Telephone | 435-659-0151
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F05250130
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License Number State | UT
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