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General NPI Number Information
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NPI Number | 1225839152
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Entity Type | Organization
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Legal Business Name | ART CITY PSYCHIATRY PLLC
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Dates
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Enumeration Date | 03/24/2025
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 2880 S MAIN ST SUITE 108
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City | SOUTH SALT LAKE
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State | UT
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Zip | 84115
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Country | US
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Telephone | 801-792-9579
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Fax |
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Provider Business Mailing Address
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Address Line | 9681 S CINDY CT
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City | SOUTH JORDAN
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State | UT
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Zip | 84009-1540
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Country | US
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Telephone | 801-792-9579
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | FAUSTIN CHAD VIGIL
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Credential | PA-C
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Telephone | 801-792-9579
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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