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General NPI Number Information
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NPI Number | 1629076229
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Entity Type | Organization
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Legal Business Name | UTAH IMAGING ASSOCIATES INC
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Dates
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Enumeration Date | 07/08/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1433 N 1075 W STE 104
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City | FARMINGTON
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State | UT
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Zip | 84025-2746
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Country | US
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Telephone | 801-298-1300
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 25488
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City | SALT LAKE CITY
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State | UT
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Zip | 84125-0488
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Country | US
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Telephone | 801-298-1300
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Fax | 801-296-1699
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Authorized Official
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Title or Position | CEO
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Name | HEATHER MCFADDEN
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Credential |
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Telephone | 801-298-1300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State | UT
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