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General NPI Number Information
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NPI Number | 1396066221
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Entity Type | Individual
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Provider Name | JONATHAN VOIGT MSW, LCSW
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Gender | Male
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Dates
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Enumeration Date | 06/15/2010
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Last Update Date | 06/15/2010
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Provider Practice Location Address
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Address Line | 5150 S WASHINGTON BLVD SUITE 1
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City | SOUTH OGDEN
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State | UT
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Zip | 84405-4506
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Country | US
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Telephone | 801-337-0067
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Fax |
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Provider Business Mailing Address
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Address Line | 668 N 450 E
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City | OREM
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State | UT
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Zip | 84097-4121
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Country | US
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Telephone | 801-367-8643
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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 | 66268173501
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License Number State | UT
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