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General NPI Number Information
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NPI Number | 1336053560
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Entity Type | Organization
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Legal Business Name | CHI HEALTH AND WELLNESS CLINIC PLLC
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Dates
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Enumeration Date | 10/02/2026
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Last Update Date | 10/02/2026
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Provider Practice Location Address
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Address Line | 2698 S REDWOOD RD STE V
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City | WEST VALLEY CITY
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State | UT
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Zip | 84119-2321
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Country | US
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Telephone | 801-502-2910
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Fax |
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Provider Business Mailing Address
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Address Line | 2698 S REDWOOD RD STE V
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City | WEST VALLEY CITY
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State | UT
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Zip | 84119-2321
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Country | US
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Telephone | 801-502-2910
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | CHIDI IHEANACHO
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Credential | NP
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Telephone | 801-502-2910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State | NULL
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