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General NPI Number Information
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NPI Number | 1699639831
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Entity Type | Organization
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Legal Business Name | VIDA HEALTH
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Dates
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Enumeration Date | 12/11/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 11566 S HOLLY SPRINGS DR
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City | SOUTH JORDAN
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State | UT
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Zip | 84009-1387
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Country | US
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Telephone | 801-361-4157
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Fax |
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Provider Business Mailing Address
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Address Line | 945 MARKET ST STE 501
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City | SAN FRANCISCO
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State | CA
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Zip | 94103-1701
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Country | US
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Telephone | 855-442-5885
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Fax |
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Authorized Official
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Title or Position | HEALTH COACH
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Name | MRS. AMY LYNNE GRUBBS
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Credential | HEALTH COACH
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Telephone | 801-361-4157
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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