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General NPI Number Information
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NPI Number | 1659801389
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Entity Type | Individual
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Provider Name | ANDREW CARDON DNP, FNP-C
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Gender | Male
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Dates
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Enumeration Date | 06/15/2017
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Last Update Date | 09/21/2018
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Provider Practice Location Address
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Address Line | 2075 UNIVERSITY PARK BLVD
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City | LAYTON
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State | UT
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Zip | 84041-1611
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Country | US
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Telephone | 801-779-6330
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Fax | 801-779-6202
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Provider Business Mailing Address
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Address Line | 2075 UNIVERSITY PARK BLVD
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City | LAYTON
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State | UT
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Zip | 84041-1611
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Country | US
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Telephone | 801-779-6330
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Fax | 801-779-6202
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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 | 9132126-4405
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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