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General NPI Number Information
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NPI Number | 1023166733
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Entity Type | Organization
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Legal Business Name | ALTA MEADOWS HEALTH CARE
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 05/23/2008
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Provider Practice Location Address
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Address Line | 1990 N 1690 W
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City | LAYTON
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State | UT
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Zip | 84041-1134
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Country | US
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Telephone | 801-546-2642
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Fax | 801-546-2652
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Provider Business Mailing Address
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Address Line | 3411 W 2400 S
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City | WEST VALLEY CITY
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State | UT
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Zip | 84119-1149
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Country | US
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Telephone | 801-886-2642
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Fax | 801-886-2643
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Authorized Official
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Title or Position | CEO
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Name | JAMES WILKINSON
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Credential |
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Telephone | 801-548-2934
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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