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General NPI Number Information
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NPI Number | 1396695300
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Entity Type | Organization
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Legal Business Name | GINGER GROVE COLLECTIVE
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Dates
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Enumeration Date | 01/29/2026
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 489 W SOUTH JORDAN PKWY STE 216
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City | SOUTH JORDAN
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State | UT
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Zip | 84095-3980
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Country | US
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Telephone | 801-871-5968
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Fax | 385-715-4702
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Provider Business Mailing Address
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Address Line | 489 W SOUTH JORDAN PKWY STE 216
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City | SOUTH JORDAN
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State | UT
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Zip | 84095-3980
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Country | US
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Telephone | 801-871-5968
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Fax | 385-715-4702
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Authorized Official
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Title or Position | OWNER
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Name | ANNELISE PARKER MURPHY
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Credential | CMHC
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Telephone | 801-871-5968
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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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