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General NPI Number Information
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NPI Number | 1801549050
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Entity Type | Organization
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Legal Business Name | SAM AND RAGAN LLP
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Dates
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Enumeration Date | 01/28/2022
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Last Update Date | 12/09/2022
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Provider Practice Location Address
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Address Line | 1 E CENTER ST STE 300
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City | PROVO
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State | UT
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Zip | 84606-3154
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Country | US
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Telephone | 801-332-9660
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Fax |
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Provider Business Mailing Address
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Address Line | 1356 S 2770 E
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City | SPANISH FORK
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State | UT
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Zip | 84660-9403
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Country | US
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Telephone | 801-228-0606
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | MR. SAMUEL RYLAND
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Credential | LCSW
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Telephone | 801-228-0606
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #3
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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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