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General NPI Number Information
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NPI Number | 1124977343
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Entity Type | Individual
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Provider Name | WENDY HERNANDEZ NAVA CSW
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Gender | Female
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Dates
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Enumeration Date | 01/22/2026
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 5459 W 7800 S STE 100
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City | WEST JORDAN
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State | UT
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Zip | 84081-6090
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Country | US
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Telephone | 801-254-9700
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Fax | 801-679-3026
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Provider Business Mailing Address
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Address Line | PO BOX 95868
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City | SOUTH JORDAN
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State | UT
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Zip | 84095-0868
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Country | US
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Telephone | 801-254-9700
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Fax | 801-679-3026
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 13447012-3502
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License Number State | UT
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