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General NPI Number Information
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NPI Number | 1447125034
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Entity Type | Individual
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Provider Name | CYNTHIA LEFFERTS SUD-C, AMAC
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Gender | Female
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Dates
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Enumeration Date | 10/06/2025
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 763 W 700 S STE B
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City | WOODS CROSS
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State | UT
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Zip | 84087-1438
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Country | US
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Telephone | 801-292-2318
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Fax |
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Provider Business Mailing Address
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Address Line | 7730 S 1000 E
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City | MIDVALE
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State | UT
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Zip | 84047-2934
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Country | US
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Telephone | 801-292-2318
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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 | 142286106011
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License Number State | UT
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