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General NPI Number Information
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NPI Number | 1710532619
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Entity Type | Organization
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Legal Business Name | SOLSTONE, LLC
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Dates
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Enumeration Date | 08/07/2019
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Last Update Date | 08/07/2019
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Provider Practice Location Address
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Address Line | 1353 N 1075 W STE 204
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City | FARMINGTON
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State | UT
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Zip | 84025-2772
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Country | US
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Telephone | 385-280-2384
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Fax |
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Provider Business Mailing Address
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Address Line | 1544 27TH ST
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City | OGDEN
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State | UT
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Zip | 84403-0411
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Country | US
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Telephone | 801-698-7728
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | STEVEN DALE LANCASTER
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Credential | LCSW
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Telephone | 801-698-7728
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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