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General NPI Number Information
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NPI Number | 1801080270
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Entity Type | Individual
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Provider Name | AMANDA L PAY AUD
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Gender | Female
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Dates
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Enumeration Date | 08/29/2007
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Last Update Date | 07/09/2019
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Provider Practice Location Address
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Address Line | 3741 W 12600 S
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City | RIVERTON
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State | UT
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Zip | 84065-7215
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Country | US
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Telephone | 801-662-4957
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Fax |
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Provider Business Mailing Address
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Address Line | 1382 W BLACK WULFF CIR
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City | BLUFFDALE
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State | UT
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Zip | 84065-5675
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Country | US
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Telephone | 801-450-9266
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 6279810-4101
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License Number State | UT
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