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General NPI Number Information
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NPI Number | 1447179957
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Entity Type | Individual
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Provider Name | FAITH PENNINGTON
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Gender | Female
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Dates
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Enumeration Date | 07/10/2026
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Last Update Date | 07/10/2026
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Provider Practice Location Address
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Address Line | 1480 N 400 E
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City | LOGAN
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State | UT
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Zip | 84341-7525
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Country | US
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Telephone | 435-750-5501
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Fax |
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Provider Business Mailing Address
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Address Line | 251 W 1600 N APT E304
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City | LOGAN
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State | UT
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Zip | 84341-4056
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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 | 225800000X
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Taxonomy Name | Recreation Therapist
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License Number | 14281115-4002
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License Number State | UT
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