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NPI 1356537542

NPI 1356537542 : NATALIE COX HERNDON PHD : WEST JORDAN, UT

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General NPI Number Information
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    NPI Number           |    1356537542
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    Entity Type          |    Individual 
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    Provider Name        |    NATALIE COX HERNDON PHD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/20/2007
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    Last Update Date     |    06/18/2025
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Provider Practice Location Address
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    Address Line         |    1174 W LE ROSIER CT 
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    City                 |    WEST JORDAN
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    State                |    UT
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    Zip                  |    84088-9076
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    Country              |    US
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    Telephone            |    601-757-3382
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    Fax                  |    801-713-1387
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Provider Business Mailing Address
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    Address Line         |    1174 W LE ROSIER CT 
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    City                 |    WEST JORDAN
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    State                |    UT
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    Zip                  |    84088-9076
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    Country              |    US
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    Telephone            |    601-757-3382
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    Fax                  |    801-713-1387
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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        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    7954817-2501
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    License Number State |    UT
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Taxonomy #2
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    Taxonomy Code        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    7954817-2501
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    License Number State |    UT
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