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General NPI Number Information
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NPI Number | 1588823132
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Entity Type | Individual
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Provider Name | ROBERTA FRANCIS ANDERSON F.N.P.
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Gender | Female
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Dates
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Enumeration Date | 06/08/2008
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Last Update Date | 06/08/2008
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Provider Practice Location Address
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Address Line | 3065 W 8600 S
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City | WEST JORDAN
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State | UT
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Zip | 84088-9626
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Country | US
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Telephone | 801-255-9447
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Fax |
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Provider Business Mailing Address
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Address Line | 3065 W 8600 S
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City | WEST JORDAN
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State | UT
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Zip | 84088-9626
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Country | US
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Telephone | 801-255-9447
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1685764405
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License Number State | UT
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