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General NPI Number Information
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NPI Number | 1164958641
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Entity Type | Individual
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Provider Name | MRS. ARICA ANN SUMNER
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Gender | Female
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Dates
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Enumeration Date | 05/03/2017
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Last Update Date | 05/03/2017
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Provider Practice Location Address
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Address Line | 433 S 500 E
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City | AMERICAN FORK
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State | UT
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Zip | 84003-2527
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Country | US
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Telephone | 801-380-0933
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Fax |
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Provider Business Mailing Address
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Address Line | 74 E 270 N
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City | SALEM
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State | UT
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Zip | 84653-9391
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Country | US
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Telephone | 801-380-0933
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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 |
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License Number State | UT
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