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General NPI Number Information
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NPI Number | 1821893744
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Entity Type | Organization
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Legal Business Name | HIGHLAND WEIGHT LOSS LLC
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Dates
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Enumeration Date | 02/14/2025
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Last Update Date | 02/17/2025
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Provider Practice Location Address
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Address Line | 4460 S HIGHLAND DR STE 400
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City | MILLCREEK
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State | UT
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Zip | 84124-3565
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Country | US
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Telephone | 801-559-3848
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Fax | 801-272-5989
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Provider Business Mailing Address
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Address Line | 4460 S HIGHLAND DR STE 400
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City | MILLCREEK
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State | UT
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Zip | 84124-3565
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Country | US
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Telephone | 801-559-3848
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Fax | 801-272-5989
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | BRITTANY CAMERON
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Credential | CPPM
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Telephone | 801-272-4111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QB0002X
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Taxonomy Name | Obesity Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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