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General NPI Number Information
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NPI Number | 1376070235
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Entity Type | Individual
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Provider Name | ZACHARY HILLYARD LCSW
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Gender | Male
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Dates
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Enumeration Date | 05/22/2017
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Last Update Date | 03/05/2026
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Provider Practice Location Address
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Address Line | 1174 E GRAYSTONE WAY STE 6
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City | SALT LAKE CITY
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State | UT
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Zip | 84106-2671
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Country | US
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Telephone | 801-871-9278
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Fax |
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Provider Business Mailing Address
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Address Line | 3685 E JUNO CIR
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City | SALT LAKE CITY
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State | UT
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Zip | 84124-2236
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Country | US
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Telephone | 801-541-7995
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 136096323501
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License Number State | UT
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