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General NPI Number Information
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NPI Number | 1649704032
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Entity Type | Organization
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Legal Business Name | LAYTON CHIROPRACTIC & ACCIDENT REHABILITATION
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Dates
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Enumeration Date | 04/12/2017
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Last Update Date | 04/12/2017
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Provider Practice Location Address
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Address Line | 872 HERITAGE PARK BLVD SUITE 130
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City | LAYTON
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State | UT
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Zip | 84041-5714
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Country | US
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Telephone | 801-784-7104
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Fax |
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Provider Business Mailing Address
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Address Line | 872 HERITAGE PARK BLVD SUITE 130
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City | LAYTON
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State | UT
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Zip | 84041-5714
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Country | US
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Telephone | 801-784-7104
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. RICHARD SARCHENKO
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Credential | D.C.
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Telephone | 801-784-7104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | 8547239-1202
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License Number State | UT
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