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General NPI Number Information
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NPI Number | 1407750516
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Entity Type | Organization
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Legal Business Name | EAZE MEDICAL SOLUTIONS CORPORTATION
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Dates
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Enumeration Date | 10/05/2026
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Last Update Date | 10/05/2026
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Provider Practice Location Address
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Address Line | 13867 S BANGERTER PKWY # 222
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City | DRAPER
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State | UT
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Zip | 84020-5318
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Country | US
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Telephone | 888-722-7599
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Fax |
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Provider Business Mailing Address
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Address Line | 13867 S BANGERTER PKWY # 222
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City | DRAPER
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State | UT
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Zip | 84020-5318
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Country | US
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Telephone | 888-722-7599
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | RYAN LONGHORN
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Credential |
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Telephone | 385-488-2051
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | NULL
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