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General NPI Number Information
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NPI Number | 1912657727
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Entity Type | Individual
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Provider Name | SARAH HOLT CRNA
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Gender | Female
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Dates
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Enumeration Date | 03/25/2022
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 170 N 1100 E
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City | AMERICAN FORK
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State | UT
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Zip | 84003-2961
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Country | US
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Telephone | 801-855-3267
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 281
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City | LYMAN
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State | WY
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Zip | 82937-0281
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Country | US
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Telephone | 630-536-7948
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 10399643-8901
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License Number State | UT
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