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General NPI Number Information
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NPI Number | 1932501624
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Entity Type | Individual
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Provider Name | LAURA PRATER GEOGHEGAN APRN
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Gender | Female
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Dates
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Enumeration Date | 09/24/2014
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 458 N 500 W
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City | BOUNTIFUL
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State | UT
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Zip | 84010-6948
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Country | US
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Telephone | 801-292-9355
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Fax | 801-296-8050
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Provider Business Mailing Address
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Address Line | 458 N 500 W
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City | BOUNTIFUL
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State | UT
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Zip | 84010-6948
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Country | US
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Telephone | 816-779-1100
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Fax | 816-779-1119
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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 | 2014034218
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 12040121-8900
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License Number State | UT
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