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NPI 1053101840

NPI 1053101840 : MR. DARREN LAMB : MAGNA, UT

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General NPI Number Information
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    NPI Number           |    1053101840
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    Entity Type          |    Individual 
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    Provider Name        |    MR. DARREN LAMB
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/07/2025
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    Last Update Date     |    05/07/2025
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Provider Practice Location Address
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    Address Line         |    2711 S 8500 W 
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    City                 |    MAGNA
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    State                |    UT
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    Zip                  |    84044-1307
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    Country              |    US
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    Telephone            |    801-990-4300
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    Fax                  |    801-967-2127
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Provider Business Mailing Address
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    Address Line         |    PO BOX 330 
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    City                 |    MAGNA
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    State                |    UT
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    Zip                  |    84044-0330
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    Country              |    US
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    Telephone            |    801-990-4300
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    Fax                  |    801-967-2127
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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        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    
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    License Number State |    UT
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