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General NPI Number Information
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NPI Number | 1649103219
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Entity Type | Organization
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Legal Business Name | IRIS HEALTH, PLLC
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Dates
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Enumeration Date | 06/04/2026
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Last Update Date | 06/05/2026
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Provider Practice Location Address
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Address Line | 116 AGNES RD # 200
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City | KNOXVILLE
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State | TN
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Zip | 37919-6306
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Country | US
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Telephone | 801-919-3008
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 550
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City | RIVERTON
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State | UT
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Zip | 84065-0550
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | GREGORY BAIRD
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Credential |
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Telephone | 801-669-0025
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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 |
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License Number State |
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