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General NPI Number Information
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NPI Number | 1124927140
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Entity Type | Organization
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Legal Business Name | EVERRISE SUPPORT SERVICES LLC
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Dates
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Enumeration Date | 11/04/2026
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Last Update Date | 11/04/2026
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Provider Practice Location Address
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Address Line | 1050 N 950 E
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City | LAYTON
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State | UT
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Zip | 84040-4706
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Country | US
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Telephone | 207-333-0774
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Fax |
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Provider Business Mailing Address
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Address Line | 1660 S 1000 E # K61
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City | CLEARFIELD
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State | UT
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Zip | 84015-3138
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Country | US
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Telephone | 207-333-0774
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Fax |
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Authorized Official
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Title or Position | MANAGING STAFF
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Name | ABDIWELI ABDOW
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Credential |
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Telephone | 207-333-0774
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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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