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General NPI Number Information
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NPI Number | 1225937170
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Entity Type | Organization
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Legal Business Name | THAELIO WELLNESS PLLC
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Dates
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Enumeration Date | 11/05/2026
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Last Update Date | 11/05/2026
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Provider Practice Location Address
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Address Line | 11309 S GOLDEN DAY DR
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City | SOUTH JORDAN
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State | UT
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Zip | 84009-1749
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Country | US
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Telephone | 801-928-1716
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Fax |
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Provider Business Mailing Address
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Address Line | 11309 S GOLDEN DAY DR
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City | SOUTH JORDAN
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State | UT
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Zip | 84009-1749
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Country | US
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Telephone | 801-928-1716
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Fax |
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Authorized Official
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Title or Position | FOUNDER, CHIEF MEDICAL OFFICER
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Name | DR. JOSHUA CHRISTIAN NELSON
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Credential | DO
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Telephone | 801-928-1716
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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