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General NPI Number Information
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NPI Number | 1699813733
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Entity Type | Organization
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Legal Business Name | ASSOCIATES FOR INPATIENT MEDICINE
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 196 E 2000 N STE 107
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City | TOOELE
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State | UT
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Zip | 84074-9335
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Country | US
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Telephone | 801-463-7415
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Fax |
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Provider Business Mailing Address
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Address Line | 370 E SOUTH TEMPLE STE 260
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City | SALT LAKE CITY
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State | UT
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Zip | 84111-1290
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Country | US
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Telephone | 801-463-7415
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ROBERT H PARKER JR.
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Credential |
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Telephone | 801-463-7415
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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