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General NPI Number Information
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NPI Number | 1689485310
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Entity Type | Individual
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Provider Name | ANN ERWIN
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Gender | Female
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Dates
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Enumeration Date | 01/14/2025
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 4568 S HIGHLAND DR STE 370
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City | MILCREEK
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State | UT
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Zip | 84117
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Country | US
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Telephone | 801-644-0353
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Fax |
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Provider Business Mailing Address
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Address Line | 4296 S 5500 W
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City | HOOPER
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State | UT
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Zip | 84315-9668
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Country | US
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Telephone | 801-644-0353
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Fax |
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 10107116-4201
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License Number State | UT
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