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General NPI Number Information
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NPI Number | 1427571645
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Entity Type | Individual
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Provider Name | CAIDY ATWOOD CMHC
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Gender | Female
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Dates
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Enumeration Date | 07/19/2017
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Last Update Date | 11/03/2023
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Provider Practice Location Address
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Address Line | 20 W MAIN STREET CT STE 200
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City | ALPINE
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State | UT
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Zip | 84004-1889
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Country | US
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Telephone | 385-387-1099
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Fax | 385-387-1243
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Provider Business Mailing Address
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Address Line | 4150 S 300 E APT 722
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City | MILLCREEK
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State | UT
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Zip | 84107-2417
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Country | US
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Telephone |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 10561270-6009
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 10561270-6004
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License Number State | UT
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