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General NPI Number Information
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NPI Number | 1649515982
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Entity Type | Organization
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Legal Business Name | MY FAMILY CHIRO, LLC
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Dates
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Enumeration Date | 11/27/2012
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Last Update Date | 10/26/2022
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Provider Practice Location Address
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Address Line | 249 E TABERNACLE ST STE 300
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City | SAINT GEORGE
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State | UT
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Zip | 84770-2995
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Country | US
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Telephone | 435-703-9410
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Fax | 435-703-9406
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Provider Business Mailing Address
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Address Line | 249 E TABERNACLE ST STE 300
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City | SAINT GEORGE
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State | UT
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Zip | 84770-2995
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Country | US
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Telephone | 435-703-9410
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Fax | 435-703-9406
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Authorized Official
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Title or Position | OWNER
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Name | THOMAS ALLEN JOHNSON
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Credential | DO
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Telephone | 435-703-9406
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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 | 8272326-1202
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License Number State | UT
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