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NPI 1730715061

NPI 1730715061 : NAVIGATING FAMILY : ALPINE, UT

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General NPI Number Information
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    NPI Number           |    1730715061
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    Entity Type          |    Organization 
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    Legal Business Name  |    NAVIGATING FAMILY 
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Dates
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    Enumeration Date     |    03/18/2020
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    Last Update Date     |    03/18/2020
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Provider Practice Location Address
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    Address Line         |    165 W CANYON CREST RD STE 110 
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    City                 |    ALPINE
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    State                |    UT
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    Zip                  |    84004-1995
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    Country              |    US
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    Telephone            |    385-247-9047
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1118 E VILLAGE WAY 
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    City                 |    ALPINE
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    State                |    UT
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    Zip                  |    84004-1795
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    Country              |    US
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    Telephone            |    801-414-7246
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    Fax                  |    
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Authorized Official
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    Title or Position    |    FOUNDER
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    Name                 |     LORAINE  HUNTER 
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    Credential           |    PHD, LCSW
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    Telephone            |    385-247-9047
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    
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    License Number State |    
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