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General NPI Number Information
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NPI Number | 1881578722
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Entity Type | Organization
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Legal Business Name | SALT LAKE SPECIALTY HOSPITAL INC
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Dates
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Enumeration Date | 08/04/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 4252 S BIRKHILL BLVD
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City | MURRAY
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State | UT
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Zip | 84107-5715
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Country | US
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Telephone | 707-503-8772
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Fax |
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Provider Business Mailing Address
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Address Line | 4252 S BIRKHILL BLVD
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City | MURRAY
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State | UT
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Zip | 84107-5715
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Country | US
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Telephone | 707-503-8772
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MANPREET SINGH
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Credential |
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Telephone | 707-503-8772
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number |
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License Number State |
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