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General NPI Number Information
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NPI Number | 1548079825
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Entity Type | Organization
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Legal Business Name | SOUTHWEST UTAH COMMUNITY HEALTH CENTER, INC
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Dates
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Enumeration Date | 01/02/2025
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 189 N MAIN ST
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City | ST GEORGE
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State | UT
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Zip | 84770-2823
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Country | US
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Telephone | 435-986-2565
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Fax | 435-628-8949
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Provider Business Mailing Address
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Address Line | 2276 E RIVERSIDE DR
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City | ST GEORGE
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State | UT
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Zip | 84790-2636
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Country | US
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Telephone | 435-986-2565
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Fax | 435-628-8949
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Authorized Official
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Title or Position | CEO
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Name | LORI WRIGHT
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Credential |
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Telephone | 435-986-2565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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