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General NPI Number Information
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NPI Number | 1982444352
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Entity Type | Organization
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Legal Business Name | HEALTH SERVICES UTAH
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Dates
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Enumeration Date | 05/31/2024
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 1088 W RIVERDALE RD
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City | RIVERDALE
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State | UT
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Zip | 84405-3721
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Country | US
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Telephone | 208-484-5952
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Fax |
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Provider Business Mailing Address
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Address Line | 10557 W CARLTON BAY DR STE 201
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City | GARDEN CITY
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State | ID
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Zip | 83714-5215
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Country | US
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Telephone | 208-484-5952
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Fax |
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Authorized Official
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Title or Position | INSURANCE SPECIALIST
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Name | MELISSA ALLSOPP
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Credential |
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Telephone | 208-484-5952
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number |
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License Number State |
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