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Contact Information

CRYSTAL T AMEZQUITA
1141 E 3900 S STE A150
SALT LAKE CITY, UT84124-1215
 Phone: 888-949-4864
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for

NPI Number 1891274429
Entity Organization
Organization subpart 1 Not specified
Enumeration date 08/14/2018
Last updated 08/14/2018 - About 8 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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