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General NPI Number Information
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NPI Number | 1659617736
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Entity Type | Organization
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Legal Business Name | DOUGLAS DENYS M.D. P.C.
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Dates
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Enumeration Date | 12/18/2012
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Last Update Date | 12/18/2012
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Provider Practice Location Address
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Address Line | 1159 E 200 N SUITE 325
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City | AMERICAN FORK
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State | UT
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Zip | 84003-2022
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Country | US
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Telephone | 801-855-2930
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Fax | 801-855-2934
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Provider Business Mailing Address
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Address Line | 1159 E 200 N SUITE 325
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City | AMERICAN FORK
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State | UT
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Zip | 84003-2022
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Country | US
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Telephone | 801-855-2930
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Fax | 801-855-2934
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Authorized Official
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Title or Position | OWNER
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Name | DOUGLAS DENYS
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Credential | M.D.
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Telephone | 801-855-2930
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 4802745-1205
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License Number State | UT
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