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General NPI Number Information
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NPI Number | 1538086988
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Entity Type | Organization
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Legal Business Name | GOLDEN POPPY WELLNESS PLLC
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Dates
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Enumeration Date | 07/06/2026
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Last Update Date | 07/06/2026
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Provider Practice Location Address
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Address Line | 588 E MAIN ST STE C
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City | LEHI
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State | UT
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Zip | 84043-2246
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Country | US
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Telephone | 801-855-6420
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Fax |
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Provider Business Mailing Address
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Address Line | 1440 E 140 S
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City | PLEASANT GROVE
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State | UT
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Zip | 84062-3048
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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 | CO-OWNER
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Name | MRS. KILEY MCCALL KIDD
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Credential | LCSW
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Telephone | 801-855-6420
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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