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General NPI Number Information
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NPI Number | 1558019588
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Entity Type | Individual
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Provider Name | BRADFORD STUCKI PH.D., LMFT
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Gender | Male
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Dates
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Enumeration Date | 03/18/2022
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 2520 N UNIVERSITY AVE STE 202
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City | PROVO
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State | UT
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Zip | 84604-3857
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Country | US
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Telephone | 801-477-6823
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Fax |
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Provider Business Mailing Address
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Address Line | 2520 N UNIVERSITY AVE STE 202
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City | PROVO
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State | UT
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Zip | 84604-3857
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Country | US
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Telephone | 801-477-6823
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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 | 0717001902
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 12737565-3902
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License Number State | UT
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