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General NPI Number Information
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NPI Number | 1588589725
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Entity Type | Individual
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Provider Name | SAMANTHA GUBLER PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/13/2026
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Last Update Date | 08/13/2026
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Provider Practice Location Address
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Address Line | 3151 W 1700 S
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City | SYRACUSE
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State | UT
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Zip | 84075-9704
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Country | US
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Telephone | 801-416-2323
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Fax |
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Provider Business Mailing Address
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Address Line | 1676 E 1300 S
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City | SALT LAKE CITY
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State | UT
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Zip | 84105-1704
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 10821497-1701
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License Number State | UT
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