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General NPI Number Information
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NPI Number | 1225917974
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Entity Type | Individual
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Provider Name | JOANNE SANDOVAL
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Gender | Female
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Dates
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Enumeration Date | 08/28/2025
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 105 W 500 N
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City | PROVO
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State | UT
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Zip | 84601-2830
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Country | US
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Telephone | 623-256-3872
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Fax |
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Provider Business Mailing Address
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Address Line | 346 W 435 N
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City | VINEYARD
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State | UT
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Zip | 84059-6651
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Country | US
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Telephone | 623-256-3872
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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 | 13255717-3904
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License Number State | UT
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