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General NPI Number Information
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NPI Number | 1780595009
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Entity Type | Individual
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Provider Name | MISS LINDSEY KAY WILSON
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Gender | Female
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Dates
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Enumeration Date | 09/15/2026
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Last Update Date | 09/15/2026
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Provider Practice Location Address
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Address Line | 2825 E COTTONWOOD PKWY STE 500
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City | SALT LAKE CITY
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State | UT
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Zip | 84121-7060
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Country | US
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Telephone | 801-616-6411
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Fax |
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Provider Business Mailing Address
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Address Line | 721 N 220 E
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City | SALEM
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State | UT
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Zip | 84653-5736
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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