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Contact Information

PDC MAPLETON LLC
744 S 1600 W
MAPLETON, UT84664
 Phone: 801-396-2944
 Fax: 801-692-9083
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for PDC MAPLETON LLC

NPI # 1447634324
LBN Legal business name PDC MAPLETON LLC
Authorized official TAELOR JEPPSON - (INSURANCE COORDINATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/10/2015
Last updated 07/10/2015 - About 11 years ago
Identifiers
UT License # 7366264-9922
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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