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General NPI Number Information
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NPI Number | 1689738130
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Entity Type | Individual
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Provider Name | JOHN WESLEY HOWARD LMFT
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Gender | Male
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Dates
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Enumeration Date | 12/20/2006
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Last Update Date | 10/26/2009
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Provider Practice Location Address
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Address Line | 1361 N 1075 W SUITE 11
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City | FARMINGTON
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State | UT
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Zip | 84025-2750
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Country | US
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Telephone | 801-628-3512
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Fax | 801-771-4395
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Provider Business Mailing Address
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Address Line | 1929 DEERE VALLEY DR
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City | LAYTON
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State | UT
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Zip | 84040-3203
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Country | US
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Telephone | 801-628-3512
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Fax | 801-771-4395
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 4935093-3902
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License Number State | UT
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