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General NPI Number Information
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NPI Number | 1427914530
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Entity Type | Organization
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Legal Business Name | SNF PHYSIATRY SERVICES UT LLC
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Dates
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Enumeration Date | 01/02/2026
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Last Update Date | 01/02/2026
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Provider Practice Location Address
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Address Line | 250 E 200 S STE 1600
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City | SALT LAKE CITY
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State | UT
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Zip | 84111-2948
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Country | US
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Telephone | 877-544-4446
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Fax |
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Provider Business Mailing Address
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Address Line | 185 ROUTE 70 STE 302
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City | TOMS RIVER
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State | NJ
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Zip | 08755-0911
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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 | MANAGING EMPLOYEE
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Name | MARK NATH
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Credential |
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Telephone | 877-544-4446
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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