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NPI 1649950197

NPI 1649950197 : ASHLEE C HARRIS CHES : TAYLOR, UT

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General NPI Number Information
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    NPI Number           |    1649950197
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    Entity Type          |    Individual 
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    Provider Name        |    ASHLEE C HARRIS CHES
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/20/2023
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    Last Update Date     |    07/20/2023
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Provider Practice Location Address
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    Address Line         |    4805W 2700S 
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    City                 |    TAYLOR
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    State                |    UT
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    Zip                  |    84401
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    Country              |    US
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    Telephone            |    801-645-3278
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4805W 2700S 
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    City                 |    TAYLOR
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    State                |    UT
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    Zip                  |    84401
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    Country              |    US
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    Telephone            |    801-645-3278
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    172V00000X
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    Taxonomy Name        |    Community Health Worker
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    License Number       |    1527-21
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    License Number State |    UT
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Taxonomy #2
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    Taxonomy Code        |    171400000X
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    Taxonomy Name        |    Health & Wellness Coach
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    License Number       |    33290
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    License Number State |    UT
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