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NPI 1730445016

NPI 1730445016 : RICHARD BEUTLER M.D. : FARMINGTON, UT

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General NPI Number Information
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    NPI Number           |    1730445016
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    Entity Type          |    Individual 
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    Provider Name        |    RICHARD BEUTLER M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/11/2012
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    Last Update Date     |    01/13/2022
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Provider Practice Location Address
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    Address Line         |    1433 N 1075 W STE 104 
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    City                 |    FARMINGTON
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    State                |    UT
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    Zip                  |    84025-2746
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    Country              |    US
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    Telephone            |    801-298-1300
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 25488 
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    City                 |    SALT LAKE CITY
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    State                |    UT
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    Zip                  |    84125-0488
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    Country              |    US
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    Telephone            |    801-298-1300
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    Fax                  |    801-296-1699
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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        |    2085B0100X
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    Taxonomy Name        |    Body Imaging Physician
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    License Number       |    MD-44241
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    License Number State |    IA
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Taxonomy #2
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    Taxonomy Code        |    2085D0003X
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    Taxonomy Name        |    Diagnostic Neuroimaging (Radiology) Physician
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    License Number       |    MD-44241
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    License Number State |    IA
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Taxonomy #3
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    Taxonomy Code        |    2085H0002X
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    Taxonomy Name        |    Hospice and Palliative Medicine (Radiology) Physician
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    License Number       |    MD-44241
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    License Number State |    IA
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Taxonomy #4
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    Taxonomy Code        |    2085N0700X
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    Taxonomy Name        |    Neuroradiology Physician
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    License Number       |    MD-44241
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    License Number State |    IA
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Taxonomy #5
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    Taxonomy Code        |    2085N0904X
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    Taxonomy Name        |    Nuclear Radiology Physician
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    License Number       |    MD-44241
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    License Number State |    IA
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Taxonomy #6
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    Taxonomy Code        |    2085P0229X
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    Taxonomy Name        |    Pediatric Radiology Physician
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    License Number       |    MD-44241
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    License Number State |    IA
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Taxonomy #7
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    Taxonomy Code        |    2085R0001X
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    Taxonomy Name        |    Radiation Oncology Physician
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    License Number       |    MD-44241
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    License Number State |    IA
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Taxonomy #8
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    Taxonomy Code        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    MD-44241
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    License Number State |    IA
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Taxonomy #9
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    Taxonomy Code        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    R74141
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    License Number State |    AZ
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Taxonomy #10
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    Taxonomy Code        |    2085R0203X
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    Taxonomy Name        |    Therapeutic Radiology Physician
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    License Number       |    MD-44241
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    License Number State |    IA
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Taxonomy #11
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    Taxonomy Code        |    2085R0204X
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    Taxonomy Name        |    Vascular & Interventional Radiology Physician
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    License Number       |    MD-44241
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    License Number State |    IA
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Taxonomy #12
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    Taxonomy Code        |    2085R0205X
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    Taxonomy Name        |    Radiological Physics Physician
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    License Number       |    MD-44241
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    License Number State |    IA
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Taxonomy #13
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    Taxonomy Code        |    2085U0001X
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    Taxonomy Name        |    Diagnostic Ultrasound Physician
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    License Number       |    MD-44241
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    License Number State |    IA
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Taxonomy #14
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    Taxonomy Code        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    12527536-1205
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    License Number State |    UT
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