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General NPI Number Information
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NPI Number | 1801264197
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Entity Type | Individual
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Provider Name | MEGAN STORY CHAVEZ PHD, LMFT
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Gender | Female
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Dates
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Enumeration Date | 09/03/2015
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 3305 N UNIVERSITY AVE STE 275
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City | PROVO
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State | UT
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Zip | 84604-7406
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Country | US
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Telephone | 801-491-6394
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Fax |
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Provider Business Mailing Address
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Address Line | 644 N 200 E
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City | SPANISH FORK
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State | UT
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Zip | 84660-1512
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Country | US
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Telephone | 385-450-1527
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 11275632-3902
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License Number State | UT
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