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General NPI Number Information
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NPI Number | 1023170214
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Entity Type | Organization
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Legal Business Name | PIONEER HEALTH, INC.
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5665 S REDWOOD RD SUITE #3
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City | TAYLORSVILLE
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State | UT
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Zip | 84123-5322
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Country | US
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Telephone | 801-265-0669
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Fax | 801-265-0811
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Provider Business Mailing Address
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Address Line | 5665 S REDWOOD RD SUITE #3
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City | TAYLORSVILLE
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State | UT
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Zip | 84123-5322
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Country | US
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Telephone | 801-265-0669
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Fax | 801-265-0811
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. NICKSON KASUE
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Credential | RN
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Telephone | 801-694-7071
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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 | UT
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