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General NPI Number Information
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NPI Number | 1750296224
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Entity Type | Individual
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Provider Name | REEGAN SMITH
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Gender | Female
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Dates
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Enumeration Date | 08/18/2026
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Last Update Date | 08/18/2026
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Provider Practice Location Address
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Address Line | 163 E 1000 N
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City | RICHFIELD
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State | UT
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Zip | 84701-1880
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Country | US
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Telephone | 435-896-8211
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Fax |
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Provider Business Mailing Address
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Address Line | 226 WHITE DR
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City | SALINA
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State | UT
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Zip | 84654-1068
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Country | US
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Telephone |
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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 | 225800000X
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Taxonomy Name | Recreation Therapist
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License Number | 13684688-4003
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License Number State | UT
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