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General NPI Number Information
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NPI Number | 1811756513
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Entity Type | Organization
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Legal Business Name | RESILIENCE HEALTH
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Dates
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Enumeration Date | 03/15/2024
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Last Update Date | 03/15/2024
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Provider Practice Location Address
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Address Line | 150 N MAIN ST STE 204B
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City | HEBER CITY
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State | UT
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Zip | 84032-1671
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Country | US
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Telephone | 435-261-7878
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Fax | 801-295-9856
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Provider Business Mailing Address
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Address Line | 150 N MAIN ST STE 204B
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City | HEBER CITY
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State | UT
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Zip | 84032-1671
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Country | US
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Telephone | 435-261-7878
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | ABRAHAM ROBERT TOMCO
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Credential | MD
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Telephone | 435-503-1022
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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