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General NPI Number Information
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NPI Number | 1215884903
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Entity Type | Organization
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Legal Business Name | WASATCH PEDIATRIC CARDIOLOGY ASSOCIATES
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Dates
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Enumeration Date | 03/12/2026
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Last Update Date | 03/12/2026
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Provider Practice Location Address
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Address Line | 680 E MAIN ST STE 200
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City | LEHI
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State | UT
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Zip | 84043-2251
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Country | US
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Telephone | 801-718-1305
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Fax | 505-485-0491
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Provider Business Mailing Address
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Address Line | 680 E MAIN ST STE 200
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City | LEHI
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State | UT
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Zip | 84043-2251
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Country | US
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Telephone | 801-718-1305
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Fax | 505-485-0491
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Authorized Official
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Title or Position | OWNER
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Name | CHUANCHAU JOU
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Credential | DO
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Telephone | 801-718-1305
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number |
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License Number State |
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