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NPI 1437631587

NPI 1437631587 : AXUM CORPORATE HEALTH STRATEGIES : HERRIMAN, UT

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General NPI Number Information
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    NPI Number           |    1437631587
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    Entity Type          |    Organization 
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    Legal Business Name  |    AXUM CORPORATE HEALTH STRATEGIES 
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Dates
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    Enumeration Date     |    09/05/2018
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    Last Update Date     |    09/05/2018
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Provider Practice Location Address
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    Address Line         |    4888 W RIVER CHASE RD 
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    City                 |    HERRIMAN
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    State                |    UT
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    Zip                  |    84096-3423
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    Country              |    US
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    Telephone            |    801-870-9657
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2750 E EVERGREEN AVE 
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    City                 |    SALT LAKE CITY
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    State                |    UT
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    Zip                  |    84109-3126
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    Country              |    US
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    Telephone            |    801-870-9657
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CO-FOUNDER
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    Name                 |     DALLIN J FRAMPTON 
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    Credential           |    
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    Telephone            |    801-870-9657
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    302F00000X
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    Taxonomy Name        |    Exclusive Provider Organization
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    License Number       |    
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    License Number State |    
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