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General NPI Number Information
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NPI Number | 1588514467
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Entity Type | Individual
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Provider Name | KATHRYN I VINCENT
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Gender | Female
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Dates
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Enumeration Date | 01/30/2026
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Last Update Date | 03/06/2026
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Provider Practice Location Address
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Address Line | 50 N MEDICAL DR
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City | SLC
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State | UT
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Zip | 84132-0001
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Country | US
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Telephone | 801-581-2121
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Fax |
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Provider Business Mailing Address
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Address Line | 13933 S DORNOCH DR
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City | HERRIMAN
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State | UT
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Zip | 84096-6775
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Country | US
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Telephone | 801-414-3862
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 6649276-4405
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 6649276-4405
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License Number State | UT
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