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General NPI Number Information
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NPI Number | 1457186991
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Entity Type | Individual
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Provider Name | CHANCE HAYES
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Gender | Male
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Dates
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Enumeration Date | 09/04/2024
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 1912 W 930 N
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City | PLEASANT GROVE
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State | UT
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Zip | 84062-4104
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Country | US
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Telephone | 801-492-1999
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Fax |
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Provider Business Mailing Address
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Address Line | 6111 W 9800 N
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City | HIGHLAND
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State | UT
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Zip | 84003-3449
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Country | US
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Telephone | 915-800-9261
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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