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General NPI Number Information
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NPI Number | 1770414740
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Entity Type | Organization
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Legal Business Name | COMUNIDAD MATERNA EN UTAH
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Dates
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Enumeration Date | 05/27/2026
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Last Update Date | 05/27/2026
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Provider Practice Location Address
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Address Line | 141 E 5600 S STE 307
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City | MURRAY
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State | UT
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Zip | 84107-8128
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Country | US
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Telephone | 801-920-3285
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Fax |
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Provider Business Mailing Address
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Address Line | 141 E 5600 S STE 307
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City | MURRAY
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State | UT
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Zip | 84107-8128
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Country | US
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Telephone | 801-920-3285
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Fax |
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Authorized Official
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Title or Position | ED
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Name | MAYRA ABISH SANCHEZ
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Credential |
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Telephone | 801-920-3285
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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