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General NPI Number Information
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NPI Number | 1023961836
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Entity Type | Organization
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Legal Business Name | WASATCH LEARNING AND WELLNESS LLC
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Dates
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Enumeration Date | 02/19/2026
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Last Update Date | 02/19/2026
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Provider Practice Location Address
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Address Line | 8170 S HIGHLAND DR STE E5
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City | SANDY
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State | UT
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Zip | 84093-6469
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Country | US
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Telephone | 385-645-4947
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Fax |
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Provider Business Mailing Address
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Address Line | 8170 S HIGHLAND DR STE E5
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City | SANDY
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State | UT
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Zip | 84093-6469
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Country | US
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Telephone | 385-645-4947
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | DR. KARA DANIELLE PETERSON
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Credential | PH.D.
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Telephone | 385-321-1273
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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 |
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License Number State |
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