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General NPI Number Information
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NPI Number | 1912859224
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Entity Type | Organization
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Legal Business Name | WASATCH HOMELESS HEALTH CARE, INC.
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Dates
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Enumeration Date | 02/10/2026
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 8955 S HARRISON ST
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City | SANDY
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State | UT
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Zip | 84070-2055
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Country | US
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Telephone | 801-364-0058
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Fax |
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Provider Business Mailing Address
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Address Line | 409 W 400 S
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City | SALT LAKE CITY
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State | UT
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Zip | 84101-1135
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Country | US
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Telephone | 801-364-0058
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Fax | 801-364-0061
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Authorized Official
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Title or Position | BILLING SPECIALIST
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Name | ANDRE GARNER
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Credential |
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Telephone | 801-364-0058
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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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 | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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