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General NPI Number Information
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NPI Number | 1902716186
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Entity Type | Individual
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Provider Name | MY LAN ALEXANDRA CHAU
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Gender | Female
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Dates
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Enumeration Date | 09/09/2026
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Last Update Date | 09/09/2026
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Provider Practice Location Address
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Address Line | 2778 W 12600 S
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City | RIVERTON
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State | UT
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Zip | 84065-7204
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Country | US
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Telephone | 801-837-3125
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Fax |
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Provider Business Mailing Address
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Address Line | 287 E CROSSROADS BLVD UNIT D
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City | SARATOGA SPRINGS
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State | UT
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Zip | 84045-3017
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Country | US
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Telephone | 801-815-9381
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 11897042-3102
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License Number State | UT
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