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General NPI Number Information
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NPI Number | 1538997119
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Entity Type | Organization
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Legal Business Name | GAD 3 LLC
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Dates
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Enumeration Date | 07/24/2024
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 1950 BARING BLVD
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City | SPARKS
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State | NV
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Zip | 89434-6735
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Country | US
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Telephone | 385-454-5027
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Fax |
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Provider Business Mailing Address
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Address Line | 3401 N THANKSGIVING WAY STE 190
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City | LEHI
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State | UT
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Zip | 84048-4157
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Country | US
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Telephone | 385-454-5027
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Fax | 801-742-8381
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Authorized Official
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Title or Position | OWNER
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Name | AARON ANDERSON
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Credential |
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Telephone | 385-454-5027
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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