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General NPI Number Information
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NPI Number | 1093568396
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Entity Type | Individual
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Provider Name | ANGELA BAIRD CMHC
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Gender | Female
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Dates
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Enumeration Date | 04/08/2024
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Last Update Date | 04/08/2024
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Provider Practice Location Address
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Address Line | 800 W UNIVERSITY PKWY
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City | OREM
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State | UT
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Zip | 84058-6703
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Country | US
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Telephone | 801-863-4780
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Fax |
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Provider Business Mailing Address
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Address Line | 672 E PERRY HOLLOW DR
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City | MAPLETON
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State | UT
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Zip | 84664-5576
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Country | US
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Telephone | 801-634-1093
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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 | 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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