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General NPI Number Information
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NPI Number | 1275465288
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Entity Type | Organization
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Legal Business Name | KIND CARE HEALTH CO LLC
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Dates
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Enumeration Date | 06/02/2026
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Last Update Date | 06/02/2026
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Provider Practice Location Address
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Address Line | 160 S 300 W APT 1104
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City | SALT LAKE CITY
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State | UT
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Zip | 84101-1845
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Country | US
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Telephone | 805-300-2866
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Fax |
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Provider Business Mailing Address
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Address Line | 160 S 300 W APT 1104
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City | SALT LAKE CITY
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State | UT
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Zip | 84101-1845
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CLINIC MANAGER
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Name | DIAMOND MANNERY
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Credential |
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Telephone | 805-300-2866
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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