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General NPI Number Information
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NPI Number | 1699211466
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Entity Type | Organization
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Legal Business Name | HEALTH PSYCHOLOGY ASSOCIATES LLC
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Dates
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Enumeration Date | 01/17/2017
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Last Update Date | 01/17/2017
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Provider Practice Location Address
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Address Line | 2911 W ALLRED CIR
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City | TAYLORSVILLE
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State | UT
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Zip | 84129-2213
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Country | US
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Telephone | 801-842-3165
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Fax | 801-581-6243
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Provider Business Mailing Address
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Address Line | 2911 W ALLRED CIR
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City | TAYLORSVILLE
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State | UT
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Zip | 84129-2213
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Country | US
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Telephone | 801-842-3156
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Fax | 801-581-6243
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Authorized Official
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Title or Position | OWNER
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Name | ERIC A YELSA
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Credential | PHD
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Telephone | 801-842-3156
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 3393702501
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License Number State | UT
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