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General NPI Number Information
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NPI Number | 1730903634
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Entity Type | Organization
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Legal Business Name | LIFE EMPOWERED CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 11/08/2024
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Last Update Date | 11/08/2024
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Provider Practice Location Address
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Address Line | 4883 W OLD HIGHWAY RD STE A
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City | MORGAN
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State | UT
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Zip | 84050-9931
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Country | US
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Telephone | 801-829-1352
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Fax |
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Provider Business Mailing Address
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Address Line | 4883 W OLD HIGHWAY RD STE A
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City | MORGAN
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State | UT
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Zip | 84050-9931
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Country | US
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Telephone | 801-829-1352
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. THOMAS LAWRENCE CAHOON
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Credential | D.C.
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Telephone | 801-829-1352
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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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