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General NPI Number Information
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NPI Number | 1003581703
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Entity Type | Individual
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Provider Name | WENDY DELACRUZ
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Gender | Female
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Dates
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Enumeration Date | 08/13/2021
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 1224 E 540 N
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City | SPANISH FORK
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State | UT
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Zip | 84660-8003
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Country | US
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Telephone | 801-234-9510
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Fax |
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Provider Business Mailing Address
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Address Line | 323 N MAIN ST
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City | TOOELE
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State | UT
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Zip | 84074-1652
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Country | US
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Telephone | 801-234-9510
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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