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General NPI Number Information
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NPI Number | 1386508752
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Entity Type | Organization
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Legal Business Name | STILLPOINT WELLNESS LLC
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Dates
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Enumeration Date | 12/10/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 701 S MAIN ST STE 100
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City | LOGAN
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State | UT
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Zip | 84321-5765
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Country | US
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Telephone | 435-395-5993
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Fax |
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Provider Business Mailing Address
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Address Line | 701 S MAIN ST STE 100
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City | LOGAN
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State | UT
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Zip | 84321-5765
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Country | US
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Telephone | 435-395-5993
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Fax |
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Authorized Official
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Title or Position | OWNER PMHNP
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Name | RAQUEL RUGGIERO
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Credential | NP
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Telephone | 435-395-5993
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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