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General NPI Number Information
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NPI Number | 1699668608
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Entity Type | Individual
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Provider Name | MS. SHAREE BETH MATHEWS
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Gender | Female
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Dates
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Enumeration Date | 05/29/2025
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 1460 S PROVIDENCE CENTER DR STE 2
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City | CEDAR CITY
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State | UT
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Zip | 84720-1981
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Country | US
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Telephone | 435-586-4479
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Fax |
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Provider Business Mailing Address
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Address Line | 3230 W 2125 S
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City | CEDAR CITY
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State | UT
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Zip | 84720-8248
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Country | US
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Telephone | 775-962-3507
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 13025-M
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 14200253-3502
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License Number State | UT
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