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NPI 1518751759

NPI 1518751759 : ADAM B LABRUM DPT : SARATOGA SPRINGS, UT

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General NPI Number Information
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    NPI Number           |    1518751759
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    Entity Type          |    Individual 
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    Provider Name        |    ADAM B LABRUM DPT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/04/2025
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    Last Update Date     |    04/04/2025
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Provider Practice Location Address
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    Address Line         |    41 E 1140 N STE A 
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    City                 |    SARATOGA SPRINGS
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    State                |    UT
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    Zip                  |    84045-5467
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    Country              |    US
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    Telephone            |    801-768-3105
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    41 E 1140 N STE A 
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    City                 |    SARATOGA SPRINGS
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    State                |    UT
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    Zip                  |    84045-5467
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    Country              |    US
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    Telephone            |    801-768-3105
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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        |    2251X0800X
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    Taxonomy Name        |    Orthopedic Physical Therapist
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    License Number       |    
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    License Number State |    
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