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General NPI Number Information
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NPI Number | 1295310290
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Entity Type | Organization
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Legal Business Name | LATINO REHABILITATION CENTER
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Dates
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Enumeration Date | 03/11/2021
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Last Update Date | 03/11/2021
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Provider Practice Location Address
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Address Line | 7860 S REDWOOD RD
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City | WEST JORDAN
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State | UT
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Zip | 84088-4002
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Country | US
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Telephone | 801-561-1356
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Fax | 855-553-6012
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Provider Business Mailing Address
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Address Line | 2470 S REDWOOD RD STE 107
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City | WEST VALLEY CITY
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State | UT
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Zip | 84119-2196
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Country | US
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Telephone | 801-561-1356
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Fax | 855-553-6012
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. CINDY CATARDI
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Credential |
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Telephone | 801-561-1356
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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