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General NPI Number Information
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NPI Number | 1093412884
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Entity Type | Organization
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Legal Business Name | THE JOURNEY WITHIN, L.L.C.
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Dates
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Enumeration Date | 02/13/2023
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Last Update Date | 03/03/2023
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Provider Practice Location Address
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Address Line | 519 W STATE STREET STE 103
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City | PLEASANT GROVE
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State | UT
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Zip | 84062
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Country | US
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Telephone | 801-477-7082
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Fax |
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Provider Business Mailing Address
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Address Line | 519 W STATE STREET STE 103
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City | PLEASANT GROVE
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State | UT
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Zip | 84062
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Country | US
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Telephone | 801-477-7082
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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 | ANGELEAH ROBERTS
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Credential | APRN
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Telephone | 801-477-7082
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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