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General NPI Number Information
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NPI Number | 1841618972
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Entity Type | Individual
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Provider Name | LUKE WENDT D.O.
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Gender | Male
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Dates
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Enumeration Date | 04/05/2014
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Last Update Date | 10/25/2024
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Provider Practice Location Address
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Address Line | 505 W 400 N
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City | OREM
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State | UT
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Zip | 84057-1950
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Country | US
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Telephone | 801-714-3424
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 27128
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City | SALT LAKE CITY
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State | UT
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Zip | 84127-0128
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Country | US
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Telephone |
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Fax | 801-418-0941
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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 | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | 301507
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 11897022-1204
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License Number State | UT
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