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General NPI Number Information
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NPI Number | 1023153004
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Entity Type | Individual
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Provider Name | CHRISTINE STUTZ HURST CMHC
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Gender | Female
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 10/20/2022
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Provider Practice Location Address
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Address Line | 541 N SAGE HEN DR
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City | WASHINGTON
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State | UT
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Zip | 84780
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Country | US
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Telephone | 435-879-1858
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Fax | 801-820-8700
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Provider Business Mailing Address
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Address Line | 541 N SAGE HEN DR
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City | WASHINGTON
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State | UT
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Zip | 84780-3156
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Country | US
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Telephone | 435-879-1858
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Fax | 801-820-8700
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC-1765
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License Number State | WY
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6473343-6004
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License Number State | UT
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