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General NPI Number Information
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NPI Number | 1023608775
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Entity Type | Individual
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Provider Name | AMY MORIAH BOGGS PSYD
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Gender | Female
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Dates
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Enumeration Date | 01/26/2021
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 2859 N 1175 E
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City | NORTH OGDEN
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State | UT
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Zip | 84414-2659
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Country | US
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Telephone | 360-474-7238
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Fax |
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Provider Business Mailing Address
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Address Line | 2859 N 1175 E
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City | NORTH OGDEN
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State | UT
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Zip | 84414-2659
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Country | US
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Telephone | 360-474-7238
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY61391172
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License Number State | WA
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