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General NPI Number Information
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NPI Number | 1255616991
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Entity Type | Individual
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Provider Name | AIMEE DANSIE LMFT
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Gender | Female
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Dates
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Enumeration Date | 10/13/2011
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Last Update Date | 05/05/2020
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Provider Practice Location Address
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Address Line | 8817 S REDWOOD RD STE D
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City | WEST JORDAN
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State | UT
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Zip | 84088-9271
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Country | US
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Telephone | 801-712-9577
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Fax |
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Provider Business Mailing Address
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Address Line | 11399 S NEW BERN WAY
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City | SOUTH JORDAN
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State | UT
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Zip | 84009-1300
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Country | US
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Telephone | 801-712-9577
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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 | 7813650-3902
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License Number State | UT
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