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General NPI Number Information
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NPI Number | 1346542453
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Entity Type | Organization
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Legal Business Name | DIGNITY HOME HEALTH OF UTAH
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Dates
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Enumeration Date | 11/22/2010
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Last Update Date | 12/12/2020
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Provider Practice Location Address
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Address Line | 174 S 1100 E
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City | AMERICAN FORK
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State | UT
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Zip | 84003-2817
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Country | US
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Telephone | 801-492-4892
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Fax | 801-770-3322
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Provider Business Mailing Address
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Address Line | 174 S 1100 E
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City | AMERICAN FORK
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State | UT
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Zip | 84003-2817
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Country | US
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Telephone | 801-492-4892
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Fax | 801-770-3322
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Authorized Official
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Title or Position | CEO / OWNER
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Name | MR. JON CONRAD MATHER
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Credential |
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Telephone | 801-492-4892
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | UT
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