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General NPI Number Information
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NPI Number | 1114526654
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Entity Type | Individual
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Provider Name | NANCIE ANN SILVA-DAHL
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Gender | Female
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Dates
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Enumeration Date | 10/24/2020
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Last Update Date | 10/24/2020
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Provider Practice Location Address
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Address Line | 1422 S BARLEY DR
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City | SPANISH FORK
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State | UT
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Zip | 84660-6105
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Country | US
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Telephone | 435-720-2464
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3618
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City | PINETOP
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State | AZ
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Zip | 85935-3618
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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 |
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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 | 17321
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 4876376-6004
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License Number State | UT
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