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General NPI Number Information
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NPI Number | 1104712512
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Entity Type | Organization
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Legal Business Name | ANDERSON ACCIDENT AND INJURY CLINIC, LLC
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Dates
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Enumeration Date | 06/13/2025
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 1896 E 280 S
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City | SPANISH FORK
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State | UT
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Zip | 84660-5834
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Country | US
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Telephone | 801-735-6748
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 292
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City | SPANISH FORK
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State | UT
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Zip | 84660-0209
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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 | PRESIDENT
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Name | DR. JAY ANDERSON
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Credential | DC
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Telephone | 801-798-2006
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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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