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General NPI Number Information
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NPI Number | 1760300446
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Entity Type | Organization
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Legal Business Name | VA SALT LAKE CITY HEALTH CARE SYSTEM
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Dates
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Enumeration Date | 07/09/2026
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Last Update Date | 07/09/2026
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Provider Practice Location Address
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Address Line | 500 FOOTHILL DR
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City | SALT LAKE CITY
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State | UT
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Zip | 84148-0001
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Country | US
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Telephone | 801-582-1565
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Fax |
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Provider Business Mailing Address
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Address Line | 500 FOOTHILL DR
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City | SALT LAKE CITY
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State | UT
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Zip | 84148-0001
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF OF STAFF
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Name | DR. SATISH ANNADATA
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Credential | MD
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Telephone | 801-582-1565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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