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General NPI Number Information
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NPI Number | 1174540090
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Entity Type | Organization
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Legal Business Name | IHC HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 07/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3903 HARRISON BLVD
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City | OGDEN
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State | UT
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Zip | 84403-2314
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Country | US
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Telephone | 801-387-3600
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Fax |
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Provider Business Mailing Address
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Address Line | 3930 PARKWAY BLVD
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City | SALT LAKE CITY
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State | UT
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Zip | 84120-6300
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Country | US
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Telephone | 801-442-1506
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Fax | 801-442-0505
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | DOUG SMITH
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Credential |
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Telephone | 801-387-3713
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 2006-ASF-219,
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License Number State | UT
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