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General NPI Number Information
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NPI Number | 1376437335
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Entity Type | Organization
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Legal Business Name | RAYS OF HOPE, LLC
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Dates
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Enumeration Date | 06/04/2025
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 1988 W 930 N
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City | PLEASANT GROVE
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State | UT
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Zip | 84062-4131
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Country | US
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Telephone | 385-855-7400
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Fax |
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Provider Business Mailing Address
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Address Line | 5513 W 11000 N STE 406
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City | HIGHLAND
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State | UT
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Zip | 84003-8012
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Country | US
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Telephone | 801-376-4348
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANTHONY TEAGUE BENGTZEN
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Credential |
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Telephone | 801-376-4348
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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 |
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License Number State |
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