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General NPI Number Information
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NPI Number | 1093409559
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Entity Type | Individual
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Provider Name | CHRISTINA Q LLOYD CSW
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Gender | Female
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Dates
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Enumeration Date | 06/07/2023
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Last Update Date | 06/07/2023
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Provider Practice Location Address
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Address Line | 85 N CENTER ST
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City | AMERICAN FORK
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State | UT
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Zip | 84003-1625
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Country | US
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Telephone | 801-692-3197
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Fax |
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Provider Business Mailing Address
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Address Line | 4033 W SAWGRASS
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City | CEDAR HILLS
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State | UT
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Zip | 84062-8534
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Country | US
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Telephone | 801-358-9080
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 13425758-3502
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License Number State | UT
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