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General NPI Number Information
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NPI Number | 1881010874
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Entity Type | Organization
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Legal Business Name | PLANNED PARENTHOOD ASSOCIATION OF UTAH
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Dates
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Enumeration Date | 03/14/2014
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Last Update Date | 09/16/2021
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Provider Practice Location Address
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Address Line | 1906 W 3600 S
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City | WEST VALLEY CITY
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State | UT
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Zip | 84119-4715
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Country | US
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Telephone | 801-973-9675
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Fax | 801-973-0379
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Provider Business Mailing Address
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Address Line | 654 S 900 E
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City | SALT LAKE CITY
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State | UT
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Zip | 84102-3478
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Country | US
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Telephone | 801-532-1586
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Fax | 801-532-5748
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Authorized Official
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Title or Position | VP CLINICAL PROGRAMS
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Name | PENNY DAVIES
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Credential |
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Telephone | 801-532-1586
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number | 58748591704
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License Number State | UT
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