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General NPI Number Information
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NPI Number | 1740137637
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Entity Type | Organization
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Legal Business Name | BEAVER VALLEY HOSPITAL
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Dates
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Enumeration Date | 03/11/2026
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Last Update Date | 03/11/2026
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Provider Practice Location Address
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Address Line | 3430 HARRISON BLVD
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City | OGDEN
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State | UT
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Zip | 84403-1231
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Country | US
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Telephone | 801-399-5609
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Fax | 801-627-1808
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Provider Business Mailing Address
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Address Line | 3430 HARRISON BLVD
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City | OGDEN
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State | UT
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Zip | 84403-1231
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Country | US
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Telephone | 801-399-5609
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Fax | 801-627-1808
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Authorized Official
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Title or Position | SECRETARY OF MANAGEMENT COMPANY
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Name | SOON BURNAM
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Credential |
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Telephone | 949-540-1249
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225800000X
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Taxonomy Name | Recreation Therapist
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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 | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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