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General NPI Number Information
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NPI Number | 1578316196
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Entity Type | Individual
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Provider Name | MEGAN WHITBECK SSW
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Gender | Female
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Dates
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Enumeration Date | 04/11/2024
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Last Update Date | 04/11/2024
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Provider Practice Location Address
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Address Line | 3251 W 5400 S
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City | TAYLORSVILLE
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State | UT
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Zip | 84129-3170
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Country | US
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Telephone | 801-613-4611
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Fax | 801-613-4601
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Provider Business Mailing Address
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Address Line | 858 W PANTANI CT
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City | MIDVALE
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State | UT
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Zip | 84047-5724
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Country | US
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Telephone | 801-209-4001
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 6330704-3503
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License Number State | UT
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