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General NPI Number Information
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NPI Number | 1083405260
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Entity Type | Organization
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Legal Business Name | HAPPY HOMEZ AGENCY LLC
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Dates
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Enumeration Date | 05/15/2025
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 3761 S 700 E STE 170A
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City | SALT LAKE CITY
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State | UT
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Zip | 84106-1100
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Country | US
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Telephone | 801-503-4304
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Fax |
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Provider Business Mailing Address
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Address Line | 1919 W RED ANGUS DR
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City | SALT LAKE CITY
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State | UT
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Zip | 84116-1169
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Country | US
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Telephone | 801-503-4304
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | MR. KALI MAFILEO MALU
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Credential |
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Telephone | 801-503-4304
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number |
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License Number State |
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