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General NPI Number Information
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NPI Number | 1366067019
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Entity Type | Individual
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Provider Name | DONNA HUNTER CMHC
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Gender | Female
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Dates
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Enumeration Date | 06/09/2020
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Last Update Date | 06/09/2020
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Provider Practice Location Address
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Address Line | 972 CHAMBERS ST STE 7
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City | SOUTH OGDEN
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State | UT
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Zip | 84403-4873
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Country | US
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Telephone | 385-449-1188
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Fax |
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Provider Business Mailing Address
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Address Line | 1441 S 1175 E
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City | OGDEN
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State | UT
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Zip | 84404-5988
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Country | US
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Telephone | 801-940-1136
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 373545-6004
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License Number State | UT
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