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NPI 1710894258

NPI 1710894258 : EMELYNS CARE LLC : SALT LAKE CITY, UT

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General NPI Number Information
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    NPI Number           |    1710894258
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    Entity Type          |    Organization 
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    Legal Business Name  |    EMELYNS CARE LLC 
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Dates
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    Enumeration Date     |    08/27/2026
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    Last Update Date     |    08/27/2026
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Provider Practice Location Address
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    Address Line         |    10 W BROADWAY STE 700 
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    City                 |    SALT LAKE CITY
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    State                |    UT
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    Zip                  |    84101-2060
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    Country              |    US
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    Telephone            |    801-640-2112
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    10 W BROADWAY STE 700 
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    City                 |    SALT LAKE CITY
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    State                |    UT
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    Zip                  |    84101-2060
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    Country              |    US
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    Telephone            |    801-640-2112
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     JONATHAN WAYNE WREGE 
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    Credential           |    
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    Telephone            |    801-916-5240
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    253Z00000X
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    Taxonomy Name        |    In Home Supportive Care Agency
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    License Number       |    
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    License Number State |    
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