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General NPI Number Information
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NPI Number | 1700734498
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Entity Type | Individual
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Provider Name | JEFFERSON WOLFRAM TURNER CSW
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Gender | Male
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Dates
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Enumeration Date | 03/18/2026
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Last Update Date | 03/18/2026
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Provider Practice Location Address
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Address Line | 18406 W WHITE QUEST DR
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City | EAGLE MOUNTAIN
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State | UT
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Zip | 84013-9701
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Country | US
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Telephone | 801-335-4699
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Fax |
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Provider Business Mailing Address
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Address Line | 7400 S STATE ST APT 2203
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City | MIDVALE
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State | UT
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Zip | 84047-6109
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Country | US
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Telephone | 915-304-9921
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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 | 142369133502
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License Number State | UT
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