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General NPI Number Information
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NPI Number | 1164870804
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Entity Type | Organization
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Legal Business Name | LINFORD CHIROPRACTIC VACATION SERVICES
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Dates
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Enumeration Date | 06/02/2016
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Last Update Date | 04/11/2017
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Provider Practice Location Address
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Address Line | 8822 S REDWOOD RD STE C212
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City | WEST JORDAN
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State | UT
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Zip | 84088-5692
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Country | US
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Telephone | 801-388-2101
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Fax |
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Provider Business Mailing Address
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Address Line | 6535 S WESTBROOK DR
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City | TAYLORSVILLE
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State | UT
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Zip | 84129-6140
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Country | US
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Telephone | 801-388-2101
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. JASON SCOTT LINFORD
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Credential | DC
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Telephone | 801-388-2101
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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 | 6139191-1202
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License Number State | UT
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