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General NPI Number Information
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NPI Number | 1285529461
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Entity Type | Organization
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Legal Business Name | FALCK THERAPY
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Dates
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Enumeration Date | 06/10/2025
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 6975 S UNION PARK CTR STE 600
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City | COTTONWOOD HEIGHTS
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State | UT
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Zip | 84047-4187
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Country | US
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Telephone | 801-449-1847
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Fax | 801-769-0592
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Provider Business Mailing Address
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Address Line | 7087 S 1300 W
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City | WEST JORDAN
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State | UT
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Zip | 84084-3411
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Country | US
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Telephone | 801-449-1847
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Fax | 801-769-0592
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Authorized Official
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Title or Position | OWNER
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Name | DAVID FALCK
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Credential | CMHC
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Telephone | 801-449-1847
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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