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General NPI Number Information
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NPI Number | 1528012770
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Entity Type | Organization
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Legal Business Name | U FAMILY HEALTH BILLING UNIVERSITY OF UTAH
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 09/06/2011
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Provider Practice Location Address
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Address Line | 555 FOOTHILL DR
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City | SALT LAKE CITY
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State | UT
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Zip | 84112-1106
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Country | US
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Telephone | 801-585-5382
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 510004
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City | SALT LAKE CITY
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State | UT
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Zip | 84151-0004
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Country | US
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Telephone | 801-587-6600
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Fax |
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Authorized Official
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Title or Position | DEPARTMENT CHAIR
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Name | DR. MICHAEL K MAGILL
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Credential | MD
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Telephone | 801-581-7294
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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