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General NPI Number Information
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NPI Number | 1578385738
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Entity Type | Organization
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Legal Business Name | UHS OF PROVO CANYON INC
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Dates
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Enumeration Date | 10/29/2024
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 1371 E 750 N
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City | OREM
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State | UT
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Zip | 84097-5480
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Country | US
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Telephone | 801-227-2140
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Fax |
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Provider Business Mailing Address
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Address Line | 1371 E 750 NORTH
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City | OREM
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State | UT
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Zip | 84097
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Country | US
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Telephone | 801-227-2140
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | STEVE FILTON
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Credential |
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Telephone | 610-768-3482
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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