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General NPI Number Information
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NPI Number | 1528452125
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Entity Type | Organization
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Legal Business Name | JAMES H CLOYD, PHD, LLC
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Dates
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Enumeration Date | 03/23/2015
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Last Update Date | 03/23/2015
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Provider Practice Location Address
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Address Line | 758 CANTERBURY LN
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City | ALPINE
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State | UT
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Zip | 84004-1255
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Country | US
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Telephone | 801-995-2324
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Fax |
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Provider Business Mailing Address
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Address Line | 758 CANTERBURY LN
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City | ALPINE
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State | UT
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Zip | 84004-1255
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Country | US
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Telephone | 801-995-2324
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Fax |
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST
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Name | DR. JAMES HENRY CLOYD JR.
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Credential | PHD
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Telephone | 801-995-2324
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 6021200-2501
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License Number State | UT
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