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General NPI Number Information
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NPI Number | 1538900337
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Entity Type | Individual
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Provider Name | DR. REBECCA RACHEL EATON
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Gender | Female
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Dates
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Enumeration Date | 06/05/2024
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Last Update Date | 06/05/2024
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Provider Practice Location Address
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Address Line | 1721 E CAMPUS CENTER DR
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City | SALT LAKE CITY
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State | UT
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Zip | 84112-8914
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Country | US
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Telephone | 801-889-0670
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Fax |
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Provider Business Mailing Address
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Address Line | 13869 S CORA B LN
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City | HERRIMAN
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State | UT
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Zip | 84096-6940
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Country | US
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Telephone | 801-889-0670
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 338773-3102
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 338773-3102
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 163WX0003X
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Taxonomy Name | Inpatient Obstetric Registered Nurse
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License Number | 338773-3102
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License Number State | UT
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