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General NPI Number Information
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NPI Number | 1114661097
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Entity Type | Individual
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Provider Name | JEFFREY ROBISON
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Gender | Male
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Dates
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Enumeration Date | 04/26/2022
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 95 S 100 E
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City | PAYSON
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State | UT
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Zip | 84651-2252
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Country | US
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Telephone | 801-382-9338
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Fax |
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Provider Business Mailing Address
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Address Line | 656 S 800 W
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City | SPRINGVILLE
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State | UT
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Zip | 84663-5949
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Country | US
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Telephone | 435-253-1745
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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 | 13773297-6004
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License Number State | UT
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