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General NPI Number Information
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NPI Number | 1033841259
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Entity Type | Organization
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Legal Business Name | ASSISTING HANDS UTAH, LLC
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Dates
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Enumeration Date | 06/27/2022
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Last Update Date | 06/27/2022
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Provider Practice Location Address
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Address Line | 2072 N MAIN ST STE 100
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City | NORTH LOGAN
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State | UT
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Zip | 84341-1778
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Country | US
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Telephone | 435-216-3216
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Fax |
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Provider Business Mailing Address
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Address Line | 2072 N MAIN ST STE 100
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City | NORTH LOGAN
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State | UT
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Zip | 84341-1778
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | GENERAL MANAGER/ADMINISTRATOR
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Name | BRAYDEN WHEELER
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Credential |
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Telephone | 435-216-3216
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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