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General NPI Number Information
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NPI Number | 1861833303
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Entity Type | Individual
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Provider Name | DAPHNE ANNE SOLOMON FNP-C
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Gender | Female
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Dates
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Enumeration Date | 07/12/2013
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Last Update Date | 01/30/2016
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Provider Practice Location Address
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Address Line | 110 W 1325 N SUITE 300
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City | CEDAR CITY
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State | UT
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Zip | 84721-8101
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Country | US
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Telephone | 435-865-9500
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Fax | 435-586-8995
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Provider Business Mailing Address
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Address Line | PO BOX 30180
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City | SALT LAKE CITY
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State | UT
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Zip | 84130-0180
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Country | US
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Telephone | 435-590-6639
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5129289-4405
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License Number State | UT
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