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General NPI Number Information
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NPI Number | 1841060985
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Entity Type | Organization
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Legal Business Name | MICHAEL BLAIR ENTERPRISES INC
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Dates
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Enumeration Date | 01/08/2024
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 805 S DIXIE DR UNIT 42
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City | SAINT GEORGE
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State | UT
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Zip | 84770-6357
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Country | US
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Telephone | 435-703-0756
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Fax |
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Provider Business Mailing Address
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Address Line | 805 S DIXIE DR UNIT 42
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City | SAINT GEORGE
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State | UT
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Zip | 84770-6357
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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 | CEO/OWNER
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Name | MICHAEL BLAIR
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Credential |
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Telephone | 435-703-0756
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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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