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General NPI Number Information
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NPI Number | 1568665784
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Entity Type | Individual
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Provider Name | BARBARA SMITH-HOLMEN N.P.
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Gender | Female
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Dates
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Enumeration Date | 06/06/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 10965 S STATE ST #100
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City | SANDY
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State | UT
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Zip | 84070-4270
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Country | US
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Telephone | 801-572-0311
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Fax | 801-571-1369
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Provider Business Mailing Address
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Address Line | 10965 S STATE #100
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City | SANDY
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State | UT
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Zip | 84070-4270
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Country | US
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Telephone |
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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 | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | 202786-4405
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License Number State | UT
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