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NPI Code Detail

MEDICARE: ESBEIDY ZUJEY PACHECO

MEDICARE: ESBEIDY ZUJEY PACHECO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225800000XRecreation Therapist14207196-4003UT

General Provider Information

NPI Number : 1215735071
Entity Type Code : Individual
Provider Name (Legal Business Name) : ESBEIDY ZUJEY PACHECO
Provider Business Mailing Address
First Line : 2612 W SURREY RD
Second Line :
City : TAYLORSVILLE
State : UT
Zip : 84129-2076
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 835 E VINE ST
Second Line :
City : MURRAY
State : UT
Zip : 84107-6515
Country : US
Telephone Number : 385-424-8742
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2025
Last Update Date : 03/06/2025

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Directions to “ ESBEIDY ZUJEY PACHECO ” Practice Location

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