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General NPI Number Information
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NPI Number | 1790337772
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Entity Type | Organization
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Legal Business Name | NORTHERN UTAH CASE MANAGEMENT
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Dates
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Enumeration Date | 07/10/2019
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Last Update Date | 07/10/2019
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Provider Practice Location Address
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Address Line | 1460 W RAMOLA ST
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City | KAYSVILLE
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State | UT
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Zip | 84037-9416
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Country | US
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Telephone | 801-309-3526
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 983
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City | KAYSVILLE
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State | UT
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Zip | 84037-0983
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Country | US
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Telephone | 801-309-3526
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Fax |
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Authorized Official
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Title or Position | OWNER/EXECUTIVE DIRECTOR
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Name | MARY ANN NEF
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Credential | S.S.W.
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Telephone | 801-309-3526
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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