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General NPI Number Information
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NPI Number | 1538398094
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Entity Type | Organization
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Legal Business Name | CHOOSING JOY LLC
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Dates
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Enumeration Date | 07/06/2009
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Last Update Date | 07/06/2009
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Provider Practice Location Address
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Address Line | 313 E 1200 S STE 101
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City | OREM
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State | UT
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Zip | 84058-6972
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Country | US
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Telephone | 801-836-8678
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Fax | 801-796-0475
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Provider Business Mailing Address
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Address Line | 3525 RUFFED GROUSE RD
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City | EAGLE MOUNTAIN
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State | UT
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Zip | 84005-4447
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Country | US
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Telephone | 801-836-8678
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Fax | 801-796-0475
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. CONNIE A WILLIAMS
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Credential |
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Telephone | 801-836-8678
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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 | 346397-6004
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License Number State | UT
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