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General NPI Number Information
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NPI Number | 1639029531
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Entity Type | Individual
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Provider Name | NATALIE KOFFORD MFT
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Gender | Female
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Dates
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Enumeration Date | 01/30/2026
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 736 S 900 E STE 203-D
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City | ST GEORGE
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State | UT
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Zip | 84790-7000
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Country | US
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Telephone | 435-236-3177
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Fax |
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Provider Business Mailing Address
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Address Line | 2243 W SUNBROOK DR UNIT 129
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City | ST GEORGE
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State | UT
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Zip | 84770-1979
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Country | US
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Telephone | 435-236-3177
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 308003-3102
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License Number State | UT
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