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General NPI Number Information
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NPI Number | 1780486365
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Entity Type | Individual
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Provider Name | VICTORIA MEZA
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Gender | Female
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Dates
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Enumeration Date | 03/25/2025
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 1196 W SOUTH JORDAN PKWY STE D2
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City | SOUTH JORDAN
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State | UT
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Zip | 84095-4604
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Country | US
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Telephone | 385-533-9590
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Fax | 385-446-0039
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Provider Business Mailing Address
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Address Line | 8977 S 1300 W # 2029
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City | WEST JORDAN
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State | UT
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Zip | 84088-9274
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Country | US
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Telephone | 385-533-9590
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Fax | 385-446-0039
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 14252100-3502
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License Number State | UT
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