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General NPI Number Information
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NPI Number | 1811417264
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Entity Type | Individual
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Provider Name | VICTORIA KRAVETS PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/26/2017
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Last Update Date | 03/10/2026
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Provider Practice Location Address
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Address Line | 5496 S 900 E
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City | MURRAY
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State | UT
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Zip | 84117-7204
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Country | US
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Telephone | 801-281-3223
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Fax |
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Provider Business Mailing Address
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Address Line | 828 N EASTCAPITOL BLVD
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City | SALT LAKE CITY
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State | UT
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Zip | 84103-2212
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Country | US
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Telephone | 801-699-8403
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA031370
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 11909486-1206
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License Number State | UT
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