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General NPI Number Information
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NPI Number | 1366122194
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Entity Type | Organization
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Legal Business Name | CAZIER CARE LLC
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Dates
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Enumeration Date | 07/18/2023
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Last Update Date | 07/18/2023
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Provider Practice Location Address
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Address Line | 3507 N UNIVERSITY AVE STE 300
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City | PROVO
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State | UT
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Zip | 84604-6637
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Country | US
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Telephone | 801-899-4183
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Fax |
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Provider Business Mailing Address
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Address Line | 3507 N UNIVERSITY AVE STE 300
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City | PROVO
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State | UT
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Zip | 84604-6637
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Country | US
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Telephone | 801-899-4183
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JEREMIAH CAZIER
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Credential |
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Telephone | 208-709-8585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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