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General NPI Number Information
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NPI Number | 1639277270
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Entity Type | Organization
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Legal Business Name | HEART OF UTAH P.C.
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 4403 HARRISON BLVD STE 3400
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City | OGDEN
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State | UT
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Zip | 84403-3281
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Country | US
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Telephone | 801-387-3400
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Fax | 801-387-3420
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Provider Business Mailing Address
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Address Line | 4403 HARRISON BLVD STE 3400
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City | OGDEN
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State | UT
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Zip | 84403-3281
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Country | US
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Telephone | 801-387-3400
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Fax | 801-387-3420
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DWIGHT AVARD RIGBY
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Credential | M.D.
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Telephone | 801-347-3400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 1012013
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License Number State | UT
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