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NPI 1184795676

NPI 1184795676 : WILLIAM ALLAN ERB LPC, NCC : OREM, UT

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General NPI Number Information
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    NPI Number           |    1184795676
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    Entity Type          |    Individual 
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    Provider Name        |    WILLIAM ALLAN ERB LPC, NCC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/13/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    800 W UNIVERSITY PKWY MAIL STOP 200
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    City                 |    OREM
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    State                |    UT
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    Zip                  |    84058-5999
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    Country              |    US
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    Telephone            |    801-863-8972
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    Fax                  |    801-863-7056
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Provider Business Mailing Address
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    Address Line         |    2503 W 1600 N 
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    City                 |    LEHI
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    State                |    UT
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    Zip                  |    84043-4901
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    Country              |    US
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    Telephone            |    801-766-2176
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    Fax                  |    801-863-7056
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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        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    291674-6004
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    License Number State |    UT
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