NPI Details | |
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NPI | 1104848100 |
Enumeration Date | 07/25/2006 |
Last Updated | 08/09/2013 |
Entity Type | Healthcare Provider |
Active | Over 11 years ago |
Authorized Information | |
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Name | JASON JASON |
Position | GENERAL COUNSEL & SECRETARY |
Phone | (801) 281-0553 |
Fax |
Practice Location | |
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4894 COMMERCE DR STE D MURRAY UT, 84107-4787, US |
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Phone | (801) 281-0553 |
Fax |
Business Location | |
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PO BOX 310709 NEW BRAUNFELS TX, 78131-0709, US |
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Phone | |
Fax |
Toxanomy | |
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Taxonomy Code | 332B00000X |
License State | |
License Number | |
Remove 1104848100 NPI Number |
According to our database, Scooter Store - Salt Lake City Llc NPI is 1104848100, taxonomy code is 332B00000X Scooter Store - Salt Lake City Llc physically located at 4894 Commerce Dr Ste D, Murray UT, 84107-4787. NPI Number 1033115704 has the healthcare provider type.
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1104848100 NPI number is provided on an as is basis without warranty of any kind. 1104848100 is maintained by the National Plan & Provider Enumeration System. The contents of Scooter Store - Salt Lake City Llc are for informational purposes only.
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