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General NPI Number Information
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NPI Number | 1558832394
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Entity Type | Individual
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Provider Name | NOEL LARSEN BELL PA-C
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Gender | Female
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Dates
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Enumeration Date | 12/05/2018
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Last Update Date | 12/05/2018
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Provider Practice Location Address
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Address Line | 2075 UNIVERSITY PARK BLVD
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City | LAYTON
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State | UT
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Zip | 84041-1611
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Country | US
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Telephone | 801-776-4444
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Fax |
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Provider Business Mailing Address
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Address Line | 2422 E LYNWOOD DR
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City | SALT LAKE CITY
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State | UT
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Zip | 84109-1214
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Country | US
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Telephone | 801-541-0842
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 10892816-1206
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License Number State | UT
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