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General NPI Number Information
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NPI Number | 1851592141
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Entity Type | Organization
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Legal Business Name | INTERMOUNTAIN CHIROPRACTIC AND SPORTS MEDICINE LLC
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Dates
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Enumeration Date | 05/31/2007
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 685 E 800 N
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City | SPANISH FORK
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State | UT
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Zip | 84660-1325
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Country | US
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Telephone | 801-798-7746
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Fax | 801-477-1572
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Provider Business Mailing Address
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Address Line | 685 E 800 N
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City | SPANISH FORK
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State | UT
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Zip | 84660-1325
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Country | US
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Telephone | 801-798-7746
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Fax | 801-477-1572
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Authorized Official
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Title or Position | OWNER
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Name | DR. VELOY K. COOK
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Credential | DC
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Telephone | 801-798-6558
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 5128490-1202
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License Number State | UT
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