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General NPI Number Information
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NPI Number | 1588419329
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Entity Type | Individual
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Provider Name | MARGARET LOUISE BOYLE OLINTO DMD
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Gender | Female
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Dates
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Enumeration Date | 04/23/2024
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Last Update Date | 04/23/2024
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Provider Practice Location Address
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Address Line | 4110 S HIGHLAND DR # 100
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City | MILLCREEK
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State | UT
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Zip | 84124-2676
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Country | US
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Telephone | 801-263-0417
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Fax |
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Provider Business Mailing Address
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Address Line | 1221 S LYMAN CT
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City | SALT LAKE CITY
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State | UT
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Zip | 84105-1821
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Country | US
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Telephone | 262-527-3999
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 13932666-9926
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License Number State | UT
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