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General NPI Number Information
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NPI Number | 1093566168
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Entity Type | Organization
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Legal Business Name | CADENCE CHIROPRACTIC SPANISH FORK
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Dates
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Enumeration Date | 03/28/2024
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Last Update Date | 03/28/2024
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Provider Practice Location Address
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Address Line | 945 N SR-51
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City | SPANISH FORK
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State | UT
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Zip | 84660
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Country | US
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Telephone | 801-494-6788
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Fax |
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Provider Business Mailing Address
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Address Line | 945 N SR-51
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City | SPANISH FORK
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State | UT
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Zip | 84660
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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 | PARTNER
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Name | BRYANT TODD
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Credential | DC
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Telephone | 801-874-8557
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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 |
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License Number State |
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