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General NPI Number Information
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NPI Number | 1346023967
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Entity Type | Individual
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Provider Name | CALEB HENDRIK FEATHERSTONE
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Gender | Male
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Dates
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Enumeration Date | 08/16/2023
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 624 W GERMANIA AVE
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City | MURRAY
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State | UT
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Zip | 84123-4628
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Country | US
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Telephone | 435-705-4312
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Fax |
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Provider Business Mailing Address
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Address Line | 841 E 1010 S
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City | ST GEORGE
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State | UT
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Zip | 84790-4061
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Country | US
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Telephone | 435-705-4312
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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 | 13520946-3902
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License Number State | UT
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