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General NPI Number Information
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NPI Number | 1255696423
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Entity Type | Individual
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Provider Name | MARNI K WINKEL-REEVE M.A., LMFT, ATR-BC
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Gender | Female
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Dates
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Enumeration Date | 07/12/2012
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Last Update Date | 05/21/2013
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Provider Practice Location Address
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Address Line | 37 E CENTER ST SUITE #208
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City | PROVO
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State | UT
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Zip | 84606-3156
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Country | US
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Telephone | 801-224-8255
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Fax | 801-224-8301
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Provider Business Mailing Address
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Address Line | 1212 OLD WILLOW LN
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City | PROVO
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State | UT
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Zip | 84604-3649
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Country | US
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Telephone | 801-850-8673
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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 | 7349851-3902
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License Number State | UT
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