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General NPI Number Information
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NPI Number | 1649038159
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Entity Type | Individual
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Provider Name | DENNIS M KEYES MSN, APRN, FNP-C
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Gender | Male
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Dates
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Enumeration Date | 03/08/2024
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 84 W 4800 S STE 101
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City | MURRAY
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State | UT
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Zip | 84107-3781
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Country | US
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Telephone | 801-224-8800
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Fax | 801-262-0998
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Provider Business Mailing Address
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Address Line | 84 W 4800 S STE 101
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City | MURRAY
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State | UT
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Zip | 84107-3781
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Country | US
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Telephone | 385-315-8302
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Fax | 771-202-9128
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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 | 7353740-4405
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 7353740-3102
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 7353740-4405
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License Number State | UT
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Taxonomy #4
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 7353740-4405
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License Number State | UT
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Taxonomy #5
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 7353740-4405
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License Number State | UT
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