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General NPI Number Information
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NPI Number | 1841267309
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Entity Type | Individual
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Provider Name | BENNETT NAVARRO NP APRN
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Gender | Female
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Dates
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Enumeration Date | 03/03/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 12285 S 2240 W
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City | RIVERTON
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State | UT
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Zip | 84065
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Country | US
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Telephone | 801-979-5330
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Fax | 801-446-7686
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Provider Business Mailing Address
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Address Line | PO BOX 328
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City | RIVERTON
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State | UT
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Zip | 84065-0328
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Country | US
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Telephone | 801-979-5330
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Fax | 801-446-7686
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 1966054405
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 1966058900
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License Number State | UT
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