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General NPI Number Information
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NPI Number | 1992992952
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Entity Type | Individual
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Provider Name | TERRI LEE HOPKINS CLAWSON DHSC, PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/03/2007
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Last Update Date | 04/07/2022
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Provider Practice Location Address
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Address Line | 3674 W SOUTH JORDAN PKWY STE 223
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City | SOUTH JORDAN
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State | UT
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Zip | 84009-7159
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Country | US
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Telephone | 385-424-5527
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Fax | 385-360-1616
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Provider Business Mailing Address
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Address Line | 4638 W SERENDIPITY WAY
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City | SOUTH JORDAN
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State | UT
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Zip | 84009-7730
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Country | US
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Telephone | 385-424-5527
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Fax | 385-360-1616
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0756
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License Number State | SD
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0069
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License Number State | MP
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Taxonomy #3
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 6731065-1206
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License Number State | UT
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