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General NPI Number Information
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NPI Number | 1689538001
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Entity Type | Individual
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Provider Name | DANIEL CHRISTENSEN
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Gender | Male
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Dates
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Enumeration Date | 12/10/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 1244 N MAIN ST STE 101
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City | TOOELE
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State | UT
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Zip | 84074-9839
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Country | US
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Telephone | 435-249-0007
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Fax |
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Provider Business Mailing Address
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Address Line | 1244 N MAIN ST STE 101
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City | TOOELE
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State | UT
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Zip | 84074-9839
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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 |
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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 | 163WW0101X
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Taxonomy Name | Ambulatory Women's Health Care Registered Nurse
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License Number | 13418839-3102
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License Number State | UT
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