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General NPI Number Information
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NPI Number | 1619162997
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Entity Type | Individual
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Provider Name | NADINE M MCCALL NP
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Gender | Female
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Dates
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Enumeration Date | 09/11/2007
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 111 S MAIN ST
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City | SALT LAKE CITY
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State | UT
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Zip | 84111-2176
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Country | US
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Telephone | 801-884-1801
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Fax |
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Provider Business Mailing Address
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Address Line | 111 S MAIN ST
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City | SALT LAKE CITY
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State | UT
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Zip | 84111-2176
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Country | US
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Telephone | 801-884-1801
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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 | RN259420
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | CNP081033
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License Number State | ME
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 13868099-4405
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License Number State | UT
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Taxonomy #4
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 058235-23
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License Number State | NH
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