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General NPI Number Information
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NPI Number | 1497416085
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Entity Type | Individual
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Provider Name | TAYLOR S SUVAL DC
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Gender | Male
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Dates
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Enumeration Date | 01/05/2022
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Last Update Date | 01/05/2022
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Provider Practice Location Address
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Address Line | 5481 W 7800 S STE 110
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City | WEST JORDAN
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State | UT
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Zip | 84081-6027
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Country | US
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Telephone | 801-316-8308
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Fax |
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Provider Business Mailing Address
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Address Line | 6584 S AZIMUTH CT
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City | WEST JORDAN
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State | UT
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Zip | 84081-5529
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Country | US
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Telephone | 806-339-3041
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 78093341202
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License Number State | UT
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