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General NPI Number Information
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NPI Number | 1255251039
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Entity Type | Organization
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Legal Business Name | PRIME MERIDIAN HEALTH CLINICS
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Dates
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Enumeration Date | 07/20/2026
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Last Update Date | 07/21/2026
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Provider Practice Location Address
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Address Line | 360 S 1300 W
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City | PLEASANT GROVE
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State | UT
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Zip | 84062-3761
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Country | US
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Telephone | 385-440-1400
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Fax |
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Provider Business Mailing Address
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Address Line | 360 S 1300 W
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City | PLEASANT GROVE
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State | UT
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Zip | 84062-3761
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Country | US
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Telephone | 385-440-1400
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Fax | 801-845-9965
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Authorized Official
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Title or Position | CLINIC OPERATIONS MANAGER
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Name | KEYLA VILORIO
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Credential |
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Telephone | 561-301-3784
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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