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General NPI Number Information
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NPI Number | 1346032182
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Entity Type | Individual
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Provider Name | MEGAN MARIE MATTINSON FPSS, MHFA
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Gender |
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Dates
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Enumeration Date | 05/19/2025
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 155 W 1500 S UNIT B201
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City | RICHFIELD
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State | UT
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Zip | 84701-7013
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Country | US
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Telephone | 801-259-3312
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 121
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City | RICHFIELD
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State | UT
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Zip | 84701-0121
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Country | US
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Telephone | 801-259-3312
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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