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General NPI Number Information
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NPI Number | 1467377200
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Entity Type | Individual
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Provider Name | SILVANA ROMINA SANTA CRUZ CRUZ
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Gender | Female
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Dates
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Enumeration Date | 08/11/2026
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Last Update Date | 08/11/2026
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Provider Practice Location Address
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Address Line | 210 W 520 N
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City | OREM
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State | UT
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Zip | 84057-4695
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Country | US
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Telephone | 801-224-1103
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Fax |
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Provider Business Mailing Address
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Address Line | 31 S 1300 W
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City | PLEASANT GROVE
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State | UT
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Zip | 84062-3789
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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 | 13204342-6004
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License Number State | UT
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