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General NPI Number Information
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NPI Number | 1942163647
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Entity Type | Organization
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Legal Business Name | CLINICA FAMILIAR DE UTAH, PLLC
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 1111 S OREM BLVD
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City | OREM
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State | UT
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Zip | 84058-6931
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Country | US
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Telephone | 385-589-9888
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Fax |
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Provider Business Mailing Address
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Address Line | 1111 S OREM BLVD
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City | OREM
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State | UT
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Zip | 84058-6931
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Country | US
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Telephone | 801-360-6185
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Fax |
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER
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Name | DR. PAUL HOWES ROBERTS
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Credential | DNP, FNP-C
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Telephone | 801-360-6185
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LC1500X
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Taxonomy Name | Community Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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