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General NPI Number Information
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NPI Number | 1285447433
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Entity Type | Organization
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Legal Business Name | ORA COUNSELING
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Dates
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Enumeration Date | 01/30/2025
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 115 GOLF COURSE RD STE A
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City | LOGAN
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State | UT
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Zip | 84321-5951
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Country | US
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Telephone | 435-279-6036
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Fax |
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Provider Business Mailing Address
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Address Line | 115 GOLF COURSE RD STE A
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City | LOGAN
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State | UT
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Zip | 84321-5951
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Country | US
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Telephone | 435-279-6036
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | TRICIA HANCOCK
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Credential |
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Telephone | 435-279-6036
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State | NULL
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Taxonomy #3
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State | NULL
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