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General NPI Number Information
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NPI Number | 1770631194
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Entity Type | Organization
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Legal Business Name | MOUNTAIN WEST EAR NOSE AND THROAT LC
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 08/05/2010
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Provider Practice Location Address
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Address Line | 1551 RENAISSANCE TOWNE DR SUITE 310
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City | BOUNTIFUL
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State | UT
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Zip | 84010-7667
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Country | US
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Telephone | 801-295-5581
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Fax | 801-295-9253
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Provider Business Mailing Address
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Address Line | 2255 N 1700 W SUITE 200
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City | LAYTON
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State | UT
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Zip | 84041-1140
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Country | US
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Telephone | 801-776-2180
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Fax | 801-776-2534
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Authorized Official
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Title or Position | GEN.
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Name | DR. CURT R STOCK
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Credential | M.D.
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Telephone | 801-295-5581
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 178486-1205
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 188579-1205
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 5395A
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License Number State | WY
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Taxonomy #4
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 5387A
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License Number State | WY
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Taxonomy #5
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Taxonomy Code | 207YP0228X
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Taxonomy Name | Pediatric Otolaryngology Physician
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License Number | 182660-1205
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License Number State | UT
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Taxonomy #6
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 264339-1205
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License Number State | UT
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