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General NPI Number Information
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NPI Number | 1336480748
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Entity Type | Organization
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Legal Business Name | SARCHENKO CHIROPRACTIC AND NUTRITION SERVICES, PC
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Dates
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Enumeration Date | 03/11/2013
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Last Update Date | 03/11/2013
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Provider Practice Location Address
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Address Line | 1525 N MAIN ST SUITE 100
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City | BOUNTIFUL
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State | UT
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Zip | 84010-6166
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Country | US
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Telephone | 321-872-7289
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Fax |
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Provider Business Mailing Address
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Address Line | 1525 N MAIN ST SUITE 100
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City | BOUNTIFUL
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State | UT
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Zip | 84010-6166
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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 | OWNER
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Name | DR. RICHARD ALLEN SARCHENKO
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Credential | D.C.
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Telephone | 321-872-7289
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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 | 8547239-1202
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License Number State | UT
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