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General NPI Number Information
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NPI Number | 1669770343
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Entity Type | Individual
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Provider Name | JENNIFER MICHELLE MOLENI LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/04/2011
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Last Update Date | 02/08/2022
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Provider Practice Location Address
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Address Line | 2100 BENGAL BLVD # H340
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City | COTTONWOOD HEIGHTS
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State | UT
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Zip | 84121-7135
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Country | US
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Telephone | 801-263-7277
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Fax |
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Provider Business Mailing Address
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Address Line | 6069 W HAVEN RIDGE WAY
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City | WEST VALLEY CITY
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State | UT
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Zip | 84128-5639
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Country | US
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Telephone | 815-298-0425
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 7753209-3501
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 77532093503
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License Number State | UT
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