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General NPI Number Information
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NPI Number | 1760203848
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Entity Type | Individual
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Provider Name | NAARA MONSERRAT NORRIS
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Gender | Female
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Dates
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Enumeration Date | 10/21/2024
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 7625 S 3200 W STE 2
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City | WEST JORDAN
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State | UT
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Zip | 84084-2887
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Country | US
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Telephone | 801-915-0359
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Fax |
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Provider Business Mailing Address
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Address Line | 403 DICKENS AVE
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City | PHARR
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State | TX
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Zip | 78577-7370
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Country | US
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Telephone | 956-330-4050
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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