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General NPI Number Information
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NPI Number | 1730786864
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Entity Type | Individual
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Provider Name | ALISON ELAINE MARTIN PHARMD
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Gender | Female
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Dates
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Enumeration Date | 10/01/2020
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 2890 E COTTONWOOD PKWY
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City | COTTONWOOD HEIGHTS
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State | UT
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Zip | 84121-7089
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Country | US
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Telephone | 888-367-2119
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Fax |
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Provider Business Mailing Address
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Address Line | 1111 E BRICKYARD RD APT 157
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City | SALT LAKE CITY
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State | UT
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Zip | 84106-2972
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Country | US
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Telephone | 585-455-8384
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 067064
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License Number State | NY
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