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General NPI Number Information
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NPI Number | 1942923545
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Entity Type | Individual
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Provider Name | ALEXANDER L HARRINGTON
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Gender | Male
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Dates
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Enumeration Date | 09/20/2022
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Last Update Date | 09/20/2022
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Provider Practice Location Address
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Address Line | 1850 E 250 S HPER WEST 113
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City | SALT LAKE CITY
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State | UT
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Zip | 84112-8411
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Country | US
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Telephone | 801-585-1820
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Fax |
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Provider Business Mailing Address
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Address Line | 250 S MARIO CAPECCHI DR # 607B
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City | SALT LAKE CITY
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State | UT
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Zip | 84112-5800
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Country | US
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Telephone | 808-463-4885
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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