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General NPI Number Information
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NPI Number | 1700911294
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Entity Type | Organization
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Legal Business Name | PAUL O. FRANCIS DDS, MS, LLC
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3300 NORTH RUNNING CREEK WAY BUILDING C SUITE 300
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City | LEHI
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State | UT
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Zip | 84043-5563
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Country | US
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Telephone | 801-766-6966
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Fax | 801-766-6967
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Provider Business Mailing Address
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Address Line | 3300 RUNNING CREEK WAY BUILDING C SUITE 300
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City | LEHI
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State | UT
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Zip | 84043-5563
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Country | US
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Telephone | 801-766-6966
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Fax | 801-766-6967
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Authorized Official
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Title or Position | MANAGER
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Name | DR. PAUL O. FRANCIS
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Credential | DDS, MS
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Telephone | 801-766-6966
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 58722299923
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License Number State | UT
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