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Individual
EDWARD H BUDGE
Active
Individual
EDWARD H BUDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1212002401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
305418
DMBA PROVIDER ID
UT
01
—
47728
PEHP
UT
01
—
64-00134
UNITED HEALTHCARE ID#
—
01
—
870578539BU1
EDUCATORS MUTUAL PIN
UT
05
—
D1788/870578539003
—
UT
01
—
QM0000076331
ALTIUS PROVIDER ID
UT
Enumeration date
07/22/2005
Last updated
04/18/2008
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