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General NPI Number Information
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NPI Number | 1306512405
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Entity Type | Individual
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Provider Name | STEVEN JOSEPH TRUJILLO
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Gender | Male
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Dates
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Enumeration Date | 08/18/2021
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Last Update Date | 08/18/2021
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Provider Practice Location Address
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Address Line | 7625 S 3200 W STE 2
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City | WEST JORDAN
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State | UT
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Zip | 84084-2887
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Country | US
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Telephone | 801-856-2743
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Fax |
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Provider Business Mailing Address
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Address Line | 1108 E 2700 S APT B16
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City | SALT LAKE CITY
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State | UT
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Zip | 84106-2639
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Country | US
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Telephone |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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