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General NPI Number Information
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NPI Number | 1376453662
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Entity Type | Organization
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Legal Business Name | REGENERATION HEALTH OF NORTHERN UTAH
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Dates
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Enumeration Date | 09/09/2026
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Last Update Date | 09/09/2026
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Provider Practice Location Address
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Address Line | 2797 N HWY 89 STE 100
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City | PLEASANT VIEW
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State | UT
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Zip | 84404-1231
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Country | US
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Telephone | 801-528-5392
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Fax | 801-782-6801
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Provider Business Mailing Address
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Address Line | 2797 N HWY 89 STE 100
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City | PLEASANT VIEW
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State | UT
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Zip | 84404-1231
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Country | US
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Telephone | 801-528-5392
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Fax | 801-782-6801
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Authorized Official
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Title or Position | OWNER
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Name | GENE CODY SASE
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Credential | FNP
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Telephone | 801-528-5392
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number |
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License Number State |
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