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General NPI Number Information
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NPI Number | 1477658854
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Entity Type | Organization
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Legal Business Name | UINTAH ADULT DAY CENTER
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 510 S 500 W
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City | VERNAL
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State | UT
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Zip | 84078-4301
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Country | US
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Telephone | 435-781-3500
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Fax | 435-789-3201
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Provider Business Mailing Address
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Address Line | 510 S 500 W
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City | VERNAL
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State | UT
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Zip | 84078-4301
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Country | US
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Telephone | 435-781-3500
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Fax | 435-789-3201
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | WAYNE DUNBAR
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Credential |
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Telephone | 435-781-3500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | 9873
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License Number State | UT
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