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General NPI Number Information
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NPI Number | 1447108014
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Entity Type | Organization
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Legal Business Name | SIERRA ALTA AUTO INJURY & SPINE CENTER LLC
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Dates
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Enumeration Date | 03/19/2026
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Last Update Date | 03/19/2026
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Provider Practice Location Address
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Address Line | 5801 S FASHION BLVD STE 220
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City | MURRAY
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State | UT
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Zip | 84107-6153
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Country | US
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Telephone | 801-810-4841
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Fax |
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Provider Business Mailing Address
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Address Line | 5801 S FASHION BLVD STE 220
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City | MURRAY
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State | UT
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Zip | 84107-6153
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Country | US
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Telephone | 801-810-4841
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | BRYN WALSH BRADLEY
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Credential | DC
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Telephone | 715-450-0264
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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