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General NPI Number Information
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NPI Number | 1891369732
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Entity Type | Individual
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Provider Name | DESERET DAY ALLEN DNP, APRN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 05/15/2021
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Last Update Date | 11/08/2022
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Provider Practice Location Address
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Address Line | 209 E GORDON AVE STE 1
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City | LAYTON
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State | UT
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Zip | 84041-2357
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Country | US
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Telephone | 801-941-9280
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Fax |
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Provider Business Mailing Address
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Address Line | 209 E GORDON AVE STE 1&2
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City | LAYTON
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State | UT
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Zip | 84041-2341
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Country | US
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Telephone | 385-786-6100
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Fax | 385-786-6102
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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 | 377163-4405
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License Number State | UT
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