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General NPI Number Information
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NPI Number | 1548532740
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Entity Type | Organization
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Legal Business Name | TIMPANOGOS CHIROPRACTIC & WELLNESS CENTER, L.L.C.
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Dates
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Enumeration Date | 02/02/2012
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 470 W 220 S STE 201
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City | PLEASANT GROVE
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State | UT
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Zip | 84062-2990
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Country | US
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Telephone | 801-796-7075
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Fax | 801-796-7085
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Provider Business Mailing Address
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Address Line | 470 W 220 S STE 201
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City | PLEASANT GROVE
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State | UT
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Zip | 84062-2990
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Country | US
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Telephone | 801-796-7075
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Fax | 801-796-7085
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Authorized Official
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Title or Position | GENERAL PARTNER
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Name | DR. DAVID HARLAN FREE
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Credential | D.C.
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Telephone | 801-796-7075
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 334676-1202
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License Number State | UT
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