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General NPI Number Information
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NPI Number | 1285440826
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Entity Type | Organization
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Legal Business Name | D'ARTAGNON WELLS, LMT LLC
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Dates
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Enumeration Date | 12/09/2024
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 9557 S 700 E UNIT 21
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City | SANDY
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State | UT
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Zip | 84070-3486
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Country | US
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Telephone | 435-890-5136
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Fax | 435-893-7030
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Provider Business Mailing Address
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Address Line | 9557 S 700 E UNIT 21
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City | SANDY
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State | UT
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Zip | 84070-3486
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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 | PRESIDENT
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Name | D'ARTAGNON WELLS
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Credential | LMT
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Telephone | 435-890-5136
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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