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General NPI Number Information
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NPI Number | 1275985244
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Entity Type | Organization
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Legal Business Name | AMERICAN CARE UNITED,LLC
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Dates
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Enumeration Date | 07/01/2016
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Last Update Date | 07/01/2016
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Provider Practice Location Address
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Address Line | 1515 E FORT UNION BLVD
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City | COTTONWOOD HEIGHTS
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State | UT
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Zip | 84121-2855
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Country | US
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Telephone | 801-478-0770
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Fax | 801-478-0771
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Provider Business Mailing Address
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Address Line | 1515 E FORT UNION BLVD
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City | COTTONWOOD HEIGHTS
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State | UT
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Zip | 84121-2855
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Country | US
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Telephone | 801-478-0770
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Fax | 801-478-0771
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Authorized Official
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Title or Position | GENERAL ADMINISTRATOR
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Name | MR. PEDO LIRA
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Credential |
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Telephone | 801-478-0770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 9211801-0160
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License Number State | UT
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