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General NPI Number Information
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NPI Number | 1558415976
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Entity Type | Individual
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Provider Name | PAUL JOHN GARDNER MFT
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Gender | Male
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5672 OSLO LANE PAUL GARDNER
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City | PARK CITY
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State | UT
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Zip | 84098
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Country | US
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Telephone | 435-575-7777
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Fax | 435-575-7777
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Provider Business Mailing Address
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Address Line | 5672 OSLO LANE PAUL GARDNER
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City | PARK CITY
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State | UT
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Zip | 84098
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Country | US
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Telephone | 435-575-7777
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Fax | 435-575-7777
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 57610183902
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License Number State | UT
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