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General NPI Number Information
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NPI Number | 1124620315
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Entity Type | Individual
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Provider Name | JERON PARRY LMFT
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Gender | Male
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Dates
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Enumeration Date | 11/12/2020
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Last Update Date | 04/08/2024
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Provider Practice Location Address
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Address Line | 10718 BECKSTEAD LN STE. #201 ROOM #2
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City | LEHI
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State | UT
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Zip | 84095-2605
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Country | US
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Telephone | 435-383-2833
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Fax |
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Provider Business Mailing Address
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Address Line | 1658 N 1125 W
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City | LEHI
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State | UT
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Zip | 84043-3339
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Country | US
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Telephone | 801-427-6260
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 7662879-3902
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License Number State | UT
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