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General NPI Number Information
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NPI Number | 1992518757
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Entity Type | Organization
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Legal Business Name | PURE HEALTH & WELLNESS
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Dates
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Enumeration Date | 01/27/2025
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 127 E MAIN ST STE F
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City | LEHI
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State | UT
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Zip | 84043-2289
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Country | US
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Telephone | 385-335-3304
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Fax |
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Provider Business Mailing Address
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Address Line | 127 E MAIN ST STE E
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City | LEHI
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State | UT
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Zip | 84043-2289
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. CLARISSA BERRY
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Credential | DNP, FNP-C
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Telephone | 801-879-1126
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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