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General NPI Number Information
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NPI Number | 1508252610
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Entity Type | Individual
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Provider Name | JENIFER ROSE COPE LMFT
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Gender | Female
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Dates
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Enumeration Date | 04/15/2015
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Last Update Date | 11/13/2022
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Provider Practice Location Address
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Address Line | 1850 W ASHTON BLVD 500 - KILN
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City | LEHI
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State | UT
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Zip | 84043-8404
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Country | US
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Telephone | 801-477-4061
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Fax |
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Provider Business Mailing Address
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Address Line | 9203 N PRAIRIE DUNES WAY
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City | EAGLE MTN
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State | UT
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Zip | 84005-6091
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Country | US
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Telephone | 720-341-1310
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 11972481-3902
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number |
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License Number State |
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