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General NPI Number Information
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NPI Number | 1609027960
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Entity Type | Organization
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Legal Business Name | CLEAR CHOICE CHIROPRACTIC AND WELLNESS
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Dates
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Enumeration Date | 10/06/2008
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Last Update Date | 10/06/2008
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Provider Practice Location Address
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Address Line | 334 W TABERNACLE ST SUITE D
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City | SAINT GEORGE
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State | UT
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Zip | 84770-3392
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Country | US
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Telephone | 435-656-3418
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Fax | 435-656-3384
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Provider Business Mailing Address
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Address Line | 334 W TABERNACLE ST SUITE D
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City | SAINT GEORGE
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State | UT
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Zip | 84770-3392
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Country | US
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Telephone | 435-656-3418
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Fax | 435-656-3384
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOEL JAYSON SALTER
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Credential | D.C.
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Telephone | 435-656-4318
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | V27939
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License Number State | UT
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