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General NPI Number Information
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NPI Number | 1124962634
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Entity Type | Individual
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Provider Name | EMMA LOUISE EBERHARDT B.MUS, M.SC
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Gender | Female
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Dates
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Enumeration Date | 04/15/2026
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Last Update Date | 04/15/2026
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Provider Practice Location Address
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Address Line | 4625 S 2300 E STE 206
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City | HOLLADAY
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State | UT
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Zip | 84117-4582
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Country | US
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Telephone | 801-214-5991
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Fax |
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Provider Business Mailing Address
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Address Line | 412 E FENTON AVE
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City | SOUTH SALT LAKE
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State | UT
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Zip | 84115-4777
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Country | US
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Telephone | 801-815-2615
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 14202171-4102
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License Number State | UT
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