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General NPI Number Information
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NPI Number | 1457686735
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Entity Type | Organization
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Legal Business Name | FRONTIER LEASING MANAGEMENT LC
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Dates
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Enumeration Date | 10/05/2009
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Last Update Date | 10/05/2009
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Provider Practice Location Address
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Address Line | 965 E 700 S #201
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City | ST GEORGE
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State | UT
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Zip | 84790-4082
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Country | US
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Telephone | 435-656-2889
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Fax | 435-656-2877
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Provider Business Mailing Address
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Address Line | 1405 W 2200 S SUITE 200
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City | SALT LAKE CITY
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State | UT
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Zip | 84119-1485
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Country | US
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Telephone | 801-973-0900
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Fax | 801-973-9571
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Authorized Official
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Title or Position | MANAGER
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Name | STEVEN L LOVE
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Credential |
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Telephone | 801-973-0900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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