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General NPI Number Information
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NPI Number | 1609700509
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Entity Type | Organization
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Legal Business Name | RITUAL SKIN & HEALTH, LLC
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Dates
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Enumeration Date | 06/09/2026
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Last Update Date | 06/12/2026
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Provider Practice Location Address
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Address Line | 1549 S 1100 E STE B
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City | SALT LAKE CITY
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State | UT
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Zip | 84105-2478
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Country | US
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Telephone | 801-448-3365
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Fax | 801-457-5022
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Provider Business Mailing Address
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Address Line | 1549 S 1100 E STE B
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City | SALT LAKE CITY
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State | UT
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Zip | 84105-2478
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Country | US
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Telephone | 801-448-3365
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Fax | 801-457-5022
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Authorized Official
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Title or Position | OWNER/ MEDICAL DIRECTOR
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Name | TINA CHANTE
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Credential | APRN/FNP-C
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Telephone | 801-448-3365
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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