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General NPI Number Information
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NPI Number | 1942440128
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Entity Type | Organization
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Legal Business Name | SNOW CREEK EMERGENCY PHYSICIANS LLC
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Dates
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Enumeration Date | 02/27/2009
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Last Update Date | 08/03/2011
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Provider Practice Location Address
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Address Line | 1600 SNOW CREEK DR
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City | PARK CITY
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State | UT
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Zip | 84060-7372
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Country | US
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Telephone | 435-655-0055
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Fax | 435-655-8979
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Provider Business Mailing Address
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Address Line | PO BOX 95970
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City | SOUTH JORDAN
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State | UT
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Zip | 84095-0970
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Country | US
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Telephone | 801-352-9500
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Fax | 801-352-9502
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. LARRY J OROSZ
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Credential | MD
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Telephone | 435-655-0055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2019674-0160
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License Number State | UT
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