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General NPI Number Information
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NPI Number | 1700516937
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Entity Type | Individual
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Provider Name | HEATHER MARIE BROWN
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Gender | Female
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Dates
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Enumeration Date | 06/11/2022
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 10619 S JORDAN GTWY # 205
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City | SOUTH JORDAN
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State | UT
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Zip | 84095-3969
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Country | US
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Telephone | 801-264-0213
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Fax |
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Provider Business Mailing Address
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Address Line | 10619 S JORDAN GTWY # 205
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City | SOUTH JORDAN
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State | UT
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Zip | 84095-3969
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Country | US
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Telephone | 801-264-0213
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 13235336-4102
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SP-2125
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License Number State | HI
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