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NPI 1578699468

NPI 1578699468 : HERITAGE SCHOOLS, INC : PROVO, UT

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General NPI Number Information
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    NPI Number           |    1578699468
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    Entity Type          |    Organization 
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    Legal Business Name  |    HERITAGE SCHOOLS, INC 
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Dates
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    Enumeration Date     |    02/26/2007
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    5600 N. HERITAGE SCHOOL DRIVE 
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    City                 |    PROVO
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    State                |    UT
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    Zip                  |    84604
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    Country              |    US
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    Telephone            |    801-226-4600
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    Fax                  |    801-226-4693
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Provider Business Mailing Address
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    Address Line         |    5600 N. HERITAGE SCHOOL DRIVE 
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    City                 |    PROVO
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    State                |    UT
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    Zip                  |    84604
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    Country              |    US
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    Telephone            |    801-226-4600
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    Fax                  |    801-226-4693
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Authorized Official
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    Title or Position    |    CHIEF OPERATION OFFICER
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    Name                 |     GLEN R ZAUGG 
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    Credential           |    
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    Telephone            |    801-226-4601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    323P00000X
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    Taxonomy Name        |    Psychiatric Residential Treatment Facility
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    License Number       |    11836
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    License Number State |    UT
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