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General NPI Number Information
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NPI Number | 1538984075
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Entity Type | Individual
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Provider Name | CAITLIN THOMAS LCMHC
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Gender | Female
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Dates
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Enumeration Date | 11/19/2024
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 12447 S CROSSING DR STE 13
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City | RIVERTON
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State | UT
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Zip | 84096-7020
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Country | US
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Telephone | 802-984-0184
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Fax |
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Provider Business Mailing Address
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Address Line | 6703 S BALFOUR LN
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City | MURRAY
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State | UT
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Zip | 84123-4005
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 13161723-6004
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License Number State | UT
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