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General NPI Number Information
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NPI Number | 1932496452
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Entity Type | Organization
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Legal Business Name | BRISTOL HOME CARE-UTAH LLC
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Dates
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Enumeration Date | 07/05/2011
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Last Update Date | 02/20/2014
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Provider Practice Location Address
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Address Line | 4460 HIGHLAND DR STE. 240
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City | SALT LAKE CITY
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State | UT
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Zip | 84124-3543
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Country | US
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Telephone | 801-272-0277
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Fax | 801-272-1047
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Provider Business Mailing Address
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Address Line | 206 N 2100 W SUITE 202
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City | SALT LAKE CITY
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State | UT
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Zip | 84116-4740
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Country | US
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Telephone | 801-325-0146
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Fax | 801-478-3533
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MRS. CHRISTIE FRANKLIN
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Credential |
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Telephone | 801-325-0146
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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