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General NPI Number Information
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NPI Number | 1639409089
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Entity Type | Individual
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Provider Name | ARIEL HENRIE GONZALES MSN, APRN, P/MHNP
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Gender | Female
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Dates
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Enumeration Date | 01/07/2010
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 5691 S REDWOOD RD BLDG. 16, SUITE 1B
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City | TAYLORSVILLE
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State | UT
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Zip | 84123-5420
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Country | US
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Telephone | 801-746-7190
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Fax | 866-284-3243
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Provider Business Mailing Address
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Address Line | 5691 S REDWOOD RD BLDG. 16, SUITE 1B
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City | TAYLORSVILLE
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State | UT
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Zip | 84123-5420
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Country | US
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Telephone | 801-746-7190
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Fax | 866-284-3243
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 6794362-3102
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 6794362-4408
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 6794362-4405
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License Number State | UT
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