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General NPI Number Information
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NPI Number | 1144697830
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Entity Type | Organization
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Legal Business Name | HOLISTIC ELEMENTS
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Dates
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Enumeration Date | 08/28/2015
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 151 E 5600 S STE 200
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City | MURRAY
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State | UT
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Zip | 84107-8150
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Country | US
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Telephone | 801-262-5418
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Fax | 801-262-5468
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Provider Business Mailing Address
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Address Line | 835 EAST 4800 SOUTH SUITE 220
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City | MURRAY
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State | UT
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Zip | 84107
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Country | US
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Telephone | 801-262-5418
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Fax | 801-262-5468
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Authorized Official
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Title or Position | OWNER
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Name | MRS. TJ GROW
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Credential | CMHC
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Telephone | 801-656-8030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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