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General NPI Number Information
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NPI Number | 1154713642
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Entity Type | Organization
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Legal Business Name | KAIZEN COUNSELING
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Dates
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Enumeration Date | 02/20/2015
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Last Update Date | 02/20/2015
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Provider Practice Location Address
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Address Line | 270 12TH ST
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City | OGDEN
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State | UT
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Zip | 84404-5651
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Country | US
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Telephone | 877-526-2247
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Fax | 801-998-3302
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Provider Business Mailing Address
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Address Line | 2144 S LAKELINE DR
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City | SALT LAKE CITY
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State | UT
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Zip | 84109-1425
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Country | US
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Telephone | 801-486-0908
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Fax | 801-998-3302
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Authorized Official
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Title or Position | OWNER
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Name | VAUGHN MILLIRON
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Credential | M.DIV
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Telephone | 801-486-0908
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 50028910160
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License Number State | UT
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