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General NPI Number Information
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NPI Number | 1376073965
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Entity Type | Individual
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Provider Name | DANIELLE LAUREN POWERS MSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/15/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 7050 S HIGHLAND DR STE 220
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City | COTTONWOOD HEIGHTS
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State | UT
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Zip | 84121-3759
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Country | US
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Telephone | 360-612-2688
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Fax |
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Provider Business Mailing Address
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Address Line | 7050 S HIGHLAND DR STE 220
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City | COTTONWOOD HEIGHTS
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State | UT
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Zip | 84121-3759
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Country | US
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Telephone | 360-612-2688
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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 | 10335227-3502
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License Number State | UT
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