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General NPI Number Information
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NPI Number | 1730051400
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Entity Type | Organization
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Legal Business Name | ASCEND HEALTH LLC
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Dates
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Enumeration Date | 09/22/2025
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 30 N STATE ST STE A
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City | PRESTON
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State | ID
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Zip | 83263-1237
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Country | US
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Telephone | 435-723-9000
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Fax | 435-734-9819
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Provider Business Mailing Address
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Address Line | 258 S MAIN ST STE 210
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City | LOGAN
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State | UT
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Zip | 84321-5768
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GREGORY CHAD MANGUM
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Credential |
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Telephone | 435-514-5646
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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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