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General NPI Number Information
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NPI Number | 1972667046
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Entity Type | Organization
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Legal Business Name | SOUTH OGDEN CITY CORPORATION
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 12/29/2023
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Provider Practice Location Address
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Address Line | 3950 ADAMS AVE
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City | SOUTH OGDEN
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State | UT
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Zip | 84403-1822
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Country | US
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Telephone | 801-622-2753
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Fax | 801-622-2755
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Provider Business Mailing Address
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Address Line | 3950 ADAMS AVE
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City | SOUTH OGDEN
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State | UT
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Zip | 84403-1822
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Country | US
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Telephone | 801-622-2753
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Fax | 801-622-2755
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Authorized Official
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Title or Position | DEPUTY FIRE CHIEF
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Name | BRANDON STOREY
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Credential |
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Telephone | 801-622-2750
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 2930L
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License Number State | UT
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