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General NPI Number Information
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NPI Number | 1720818131
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Entity Type | Organization
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Legal Business Name | VISTAS CARE INC
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Dates
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Enumeration Date | 08/02/2024
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Last Update Date | 08/02/2024
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Provider Practice Location Address
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Address Line | 1600 W 2200 S STE 101
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City | SALT LAKE CITY
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State | UT
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Zip | 84119-1466
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Country | US
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Telephone | 385-220-9411
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Fax |
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Provider Business Mailing Address
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Address Line | 3556 S 5600 W STE 1
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City | WEST VALLEY
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State | UT
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Zip | 84120-2815
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Country | US
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Telephone | 385-220-9411
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | AZIZ I MUSA
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Credential |
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Telephone | 817-819-4594
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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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 | 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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