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General NPI Number Information
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NPI Number | 1013432814
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Entity Type | Organization
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Legal Business Name | CADENCE CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 08/14/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 456 E STATE RD STE 500
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City | AMERICAN FORK
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State | UT
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Zip | 84003-2589
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Country | US
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Telephone | 801-642-4199
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Fax | 801-642-4199
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Provider Business Mailing Address
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Address Line | 456 E STATE RD STE 500
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City | AMERICAN FORK
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State | UT
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Zip | 84003-2589
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Country | US
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Telephone | 801-642-4199
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Fax | 801-642-4199
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARC NELSON
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Credential | DC
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Telephone | 801-642-4199
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 10340939-1202
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License Number State | UT
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