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General NPI Number Information
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NPI Number | 1083503114
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Entity Type | Organization
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Legal Business Name | WHISKER WILLOW, LLC
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Dates
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Enumeration Date | 07/02/2025
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 4933 S 1500 W STE 200
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City | RIVERDALE
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State | UT
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Zip | 84405-7738
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Country | US
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Telephone | 801-525-4645
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Fax | 801-779-7808
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Provider Business Mailing Address
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Address Line | 4933 S 1500 W STE 200
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City | RIVERDALE
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State | UT
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Zip | 84405-7738
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BRITTANY VARNEY
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Credential |
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Telephone | 801-525-4645
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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