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General NPI Number Information
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NPI Number | 1073866695
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Entity Type | Organization
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Legal Business Name | UNIVERSITY NEUROPSYCHIATRIC INSTITUTE
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Dates
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Enumeration Date | 10/19/2012
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Last Update Date | 10/19/2012
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Provider Practice Location Address
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Address Line | 252 SOUTH 500 EAST
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City | SALT LAKE CITY
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State | UT
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Zip | 84103
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Country | US
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Telephone | 801-236-7738
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Fax |
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Provider Business Mailing Address
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Address Line | 252 S 500 E
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City | SALT LAKE CITY
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State | UT
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Zip | 84102-2030
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Country | US
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Telephone | 801-236-7738
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Fax |
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Authorized Official
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Title or Position | SOCIAL WORK STUDENT
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Name | ARIELLE BIANCA NASH
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Credential |
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Telephone | 801-597-7915
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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