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General NPI Number Information
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NPI Number | 1235954389
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Entity Type | Organization
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Legal Business Name | VITALCARE HEALTH SERVICES PC
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Dates
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Enumeration Date | 11/22/2024
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 3742 W 2150 N STE 150
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City | LEHI
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State | UT
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Zip | 84048-7802
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Country | US
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Telephone | 844-210-6186
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Fax | 844-210-6186
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Provider Business Mailing Address
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Address Line | 3079 N 3550 W
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City | LEHI
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State | UT
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Zip | 84043-7514
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Country | US
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Telephone | 505-320-9952
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | CHANCE BASINGER
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Credential | PA-C
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Telephone | 505-320-9952
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2084B0040X
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Taxonomy Name | Behavioral Neurology & Neuropsychiatry Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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