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General NPI Number Information
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NPI Number | 1699977496
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Entity Type | Organization
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Legal Business Name | VALLEY OBSTETRICS AND GYNECOLOGY, PC
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Dates
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Enumeration Date | 06/04/2007
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Last Update Date | 02/17/2011
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Provider Practice Location Address
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Address Line | 585 N 500 W
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City | PROVO
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State | UT
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Zip | 84601-1548
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Country | US
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Telephone | 801-374-1801
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Fax | 801-216-8357
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Provider Business Mailing Address
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Address Line | 585 N 500 W
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City | PROVO
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State | UT
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Zip | 84601-1548
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Country | US
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Telephone | 801-374-1801
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Fax | 801-216-8357
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Authorized Official
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Title or Position | COO
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Name | MR. ADAM B. RASMUSSEN
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Credential |
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Telephone | 801-374-1801
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 358469-8905
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License Number State | UT
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