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General NPI Number Information
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NPI Number | 1225826431
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Entity Type | Individual
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Provider Name | EMMA BRUMM LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/28/2025
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 796 E PACIFIC DR STE B
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City | AMERICAN FORK
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State | UT
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Zip | 84003-3161
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Country | US
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Telephone | 801-756-1626
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Fax |
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Provider Business Mailing Address
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Address Line | 4017 W TROON ST
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City | CEDAR HILLS
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State | UT
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Zip | 84062-8549
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Country | US
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Telephone | 916-952-9839
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 13419444-3501
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License Number State | UT
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