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General NPI Number Information
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NPI Number | 1922053586
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Entity Type | Organization
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Legal Business Name | SOUTHWEST CENTER
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 12/11/2007
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Provider Practice Location Address
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Address Line | 474 W 200 N #300
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City | ST GEORGE
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State | UT
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Zip | 84770-4505
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Country | US
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Telephone | 435-634-5600
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Fax | 435-986-8700
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Provider Business Mailing Address
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Address Line | 474 W 200 N #300
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City | ST GEORGE
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State | UT
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Zip | 84770-4505
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Country | US
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Telephone | 435-634-5600
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Fax | 435-986-8700
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Authorized Official
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Title or Position | ACCOUNTS RECEIVABLE COORDINATOR
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Name | ART W SAWYER
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Credential |
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Telephone | 435-634-5621
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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