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General NPI Number Information
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NPI Number | 1598648479
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Entity Type | Individual
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Provider Name | MICHELLE ELIZABETH PATTISON APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 07/29/2025
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 166 E 5900 S STE B109
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City | MURRAY
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State | UT
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Zip | 84107-7293
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Country | US
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Telephone | 385-275-4673
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Fax | 801-999-4166
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Provider Business Mailing Address
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Address Line | 9097 S ELMHEARST DR
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City | WEST JORDAN
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State | UT
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Zip | 84088-8801
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Country | US
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Telephone | 801-518-1760
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 332657-4405
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License Number State | UT
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