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General NPI Number Information
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NPI Number | 1578451423
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Entity Type | Individual
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Provider Name | PATRICIA CARDWELL
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Gender | Female
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Dates
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Enumeration Date | 06/26/2025
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 2740 PENNSYLVANIA AVE
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City | OGDEN
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State | UT
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Zip | 84401-3320
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Country | US
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Telephone | 801-675-5624
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Fax |
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Provider Business Mailing Address
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Address Line | 1134 E 1000 N
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City | OGDEN
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State | UT
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Zip | 84404-6658
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Country | US
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Telephone | 385-445-4553
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | 14211709-2702
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number | 14211709-2702
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License Number State | UT
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