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General NPI Number Information
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NPI Number | 1578887329
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Entity Type | Organization
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Legal Business Name | VALUED MEDICAL CARE LLC
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Dates
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Enumeration Date | 03/23/2010
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Last Update Date | 07/20/2010
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Provider Practice Location Address
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Address Line | 9103 S 1300 W SUITE 103
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City | WEST JORDAN
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State | UT
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Zip | 84088-6706
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Country | US
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Telephone | 801-208-2070
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Fax |
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Provider Business Mailing Address
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Address Line | 9103 S 1300 W SUITE 102
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City | WEST JORDAN
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State | UT
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Zip | 84088-6706
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Country | US
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Telephone | 801-208-2070
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DR. VICTOR CRUZ
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Credential | M.D.
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Telephone | 801-243-2327
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | 6182993-1205
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License Number State | UT
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