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General NPI Number Information
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NPI Number | 1811712581
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Entity Type | Individual
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Provider Name | EMILY CARTER
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Gender | Female
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Dates
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Enumeration Date | 11/18/2024
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 4095 E PONY EXPRESS PKWY STE 15
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City | EAGLE MOUNTAIN
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State | UT
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Zip | 84005-5531
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Country | US
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Telephone | 209-923-1480
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Fax |
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Provider Business Mailing Address
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Address Line | 4096 E MOHICAN DR
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City | EAGLE MOUNTAIN
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State | UT
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Zip | 84005-6020
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Country | US
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Telephone | 209-923-1480
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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 |
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License Number State |
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