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General NPI Number Information
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NPI Number | 1972604429
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Entity Type | Individual
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Provider Name | ERIC C. FELT D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 215 S 1000 E
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City | SALT LAKE CITY
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State | UT
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Zip | 84102-2403
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Country | US
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Telephone | 801-533-9879
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Fax | 801-366-9497
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Provider Business Mailing Address
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Address Line | 7956 WILLOW CIR
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City | SANDY
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State | UT
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Zip | 84093-6270
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Country | US
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Telephone | 801-942-3542
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Fax | 801-942-3572
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State | UT
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