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General NPI Number Information
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NPI Number | 1700931078
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Entity Type | Organization
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Legal Business Name | HEALTHQUEST OF SOUTH JORDAN
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 10456 S REDWOOD RD
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City | SOUTH JORDAN
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State | UT
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Zip | 84095-8501
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Country | US
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Telephone | 801-446-5100
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Fax | 801-446-8570
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Provider Business Mailing Address
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Address Line | 10456 S REDWOOD RD
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City | SOUTH JORDAN
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State | UT
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Zip | 84095-8501
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Country | US
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Telephone | 801-446-5100
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Fax | 801-446-8570
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Authorized Official
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Title or Position | OWNER
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Name | DUY TRAN
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Credential | D.C
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Telephone | 801-446-5100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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