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General NPI Number Information
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NPI Number | 1598192635
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Entity Type | Individual
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Provider Name | MONICA LYNN HULL PA
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Gender | Female
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Dates
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Enumeration Date | 10/03/2013
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 7998 S 1300 E
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City | SANDY
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State | UT
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Zip | 84094-0744
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Country | US
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Telephone | 801-255-2000
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Fax | 801-325-7185
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Provider Business Mailing Address
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Address Line | PO BOX 3777
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City | PORTLAND
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State | OR
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Zip | 97208-3777
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Country | US
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Telephone | 503-413-3900
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 8793909-1206
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA223704
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License Number State | OR
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