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General NPI Number Information
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NPI Number | 1811852619
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Entity Type | Individual
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Provider Name | GABRIEL CLARK
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Gender | Male
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Dates
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Enumeration Date | 12/23/2025
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 6084 W 5200 S
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City | HOOPER
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State | UT
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Zip | 84315-9561
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Country | US
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Telephone | 801-989-3222
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Fax |
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Provider Business Mailing Address
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Address Line | 6084 W 5200 S
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City | HOOPER
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State | UT
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Zip | 84315-9561
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Country | US
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Telephone | 801-989-3222
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 14264714-6004
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License Number State | UT
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