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General NPI Number Information
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NPI Number | 1639050073
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Entity Type | Organization
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Legal Business Name | ARISE MOBILE MEDICAL
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Dates
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Enumeration Date | 09/11/2025
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2285 N POINTE MEADOW LOOP
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City | LEHI
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State | UT
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Zip | 84048-4957
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Country | US
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Telephone | 385-207-9919
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Fax |
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Provider Business Mailing Address
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Address Line | 2285 N POINTE MEADOW LOOP
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City | LEHI
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State | UT
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Zip | 84048-4957
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF MEDICAL OFFICER
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Name | KENNETH CRUMP
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Credential | MD
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Telephone | 801-592-2414
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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