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General NPI Number Information
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NPI Number | 1942621602
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Entity Type | Organization
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Legal Business Name | ROCKY MOUNTAIN PERSONAL CARE LLC
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Dates
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Enumeration Date | 12/26/2013
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Last Update Date | 05/18/2016
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Provider Practice Location Address
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Address Line | 576 W 900 S SUITE 101
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City | WOODS CROSS
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State | UT
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Zip | 84010-8194
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Country | US
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Telephone | 801-397-4054
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Fax |
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Provider Business Mailing Address
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Address Line | 5242 S COLLEGE DR STE 340
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City | SALT LAKE CITY
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State | UT
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Zip | 84123-2653
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Country | US
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Telephone | 801-397-4000
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. DEE R BANGERTER
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Credential |
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Telephone | 801-397-4000
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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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