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General NPI Number Information
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NPI Number | 1720402324
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Entity Type | Organization
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Legal Business Name | NMG, LLC
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Dates
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Enumeration Date | 02/18/2014
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Last Update Date | 02/18/2014
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Provider Practice Location Address
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Address Line | 1755 S 4490 W ST. C & D
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City | SALT LAKE CITY
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State | UT
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Zip | 84104-4740
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Country | US
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Telephone | 801-747-3228
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 26543
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City | SALT LAKE CITY
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State | UT
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Zip | 84126-0543
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Country | US
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Telephone | 801-747-3228
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RHONDA NOBLE
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Credential |
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Telephone | 801-747-3228
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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Taxonomy #2
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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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