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General NPI Number Information
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NPI Number | 1982590592
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Entity Type | Individual
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Provider Name | HANNAH JOCHEM NP
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Gender | Female
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Dates
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Enumeration Date | 06/18/2025
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 50 N MEDICAL DR
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City | SALT LAKE CITY
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State | UT
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Zip | 84132-0001
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Country | US
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Telephone | 801-581-2121
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Fax |
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Provider Business Mailing Address
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Address Line | 336 SWEETWATER ST
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City | LANDER
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State | WY
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Zip | 82520-3348
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Country | US
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Telephone | 614-307-5036
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 9489391-4405
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 50933
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License Number State | WY
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