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General NPI Number Information
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NPI Number | 1407365422
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Entity Type | Individual
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Provider Name | MONICA L RAWLINGS CMHC
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Gender | Female
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Dates
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Enumeration Date | 09/21/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 51 E 800 N
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City | SPANISH FORK
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State | UT
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Zip | 84660-1210
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Country | US
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Telephone | 801-810-1119
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Fax |
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Provider Business Mailing Address
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Address Line | 11 S CLARK LN
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City | ELK RIDGE
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State | UT
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Zip | 84651-4501
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Country | US
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Telephone | 801-814-1696
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 9428480-6006
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License Number State | UT
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