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General NPI Number Information
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NPI Number | 1487564472
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Entity Type | Individual
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Provider Name | EMMA WARNEKE
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Gender | Female
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Dates
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Enumeration Date | 09/10/2026
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Last Update Date | 09/10/2026
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Provider Practice Location Address
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Address Line | 60 S MAIN ST
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City | TOOELE
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State | UT
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Zip | 84074-2163
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Country | US
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Telephone | 435-255-6150
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Fax |
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Provider Business Mailing Address
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Address Line | 4519 W 3805 S
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City | WEST VALLEY
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State | UT
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Zip | 84120-3717
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 13694350-3502
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License Number State | UT
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