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NPI Code Detail

MEDICARE: CLAIRE DUFFY

MEDICARE: CLAIRE DUFFY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker
2363A00000XPhysician AssistantUT
3363AM0700XMedical Physician Assistant8228649-1206UT

General Provider Information

NPI Number : 1225338999
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLAIRE DUFFY
Provider Business Mailing Address
First Line : 501 S CHIPETA WAY
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84108-1222
Country : US
Telephone Number : 801-587-3187
Fax Number :
Provider Business Practice Location Address
First Line : 1588 MAJOR ST
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84115-1631
Country : US
Telephone Number : 801-467-6060
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2010
Last Update Date : 10/21/2021

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Directions to “ CLAIRE DUFFY ” Practice Location

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