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General NPI Number Information
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NPI Number | 1114831757
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Entity Type | Organization
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Legal Business Name | POPPYS PLACE LLC
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Dates
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Enumeration Date | 09/30/2026
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Last Update Date | 09/30/2026
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Provider Practice Location Address
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Address Line | 244 W 300 S
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City | PROVO
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State | UT
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Zip | 84601-4369
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Country | US
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Telephone | 385-224-2798
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Fax |
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Provider Business Mailing Address
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Address Line | 244 W 300 S STE 1
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City | PROVO
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State | UT
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Zip | 84601-4369
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Country | US
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Telephone | 385-224-2798
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JACOB RAWLINS
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Credential |
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Telephone | 385-224-2798
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State | NULL
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