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General NPI Number Information
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NPI Number | 1275483976
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Entity Type | Individual
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Provider Name | SUSAN ELAINE SMAELLIE MSW
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Gender | Female
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Dates
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Enumeration Date | 02/02/2026
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 217 E 7800 S
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City | MIDVALE
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State | UT
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Zip | 84047-2653
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Country | US
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Telephone | 801-826-8800
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Fax |
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Provider Business Mailing Address
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Address Line | 1914 E RIO CIR
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City | SANDY
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State | UT
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Zip | 84093-6924
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Country | US
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Telephone | 801-943-0252
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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 | 14239971-3502
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License Number State | UT
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