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NPI 1841157591

NPI 1841157591 : TEANNA PARKER : DRAPER, UT

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General NPI Number Information
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    NPI Number           |    1841157591
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    Entity Type          |    Individual 
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    Provider Name        |    TEANNA PARKER
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    Gender               |     
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Dates
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    Enumeration Date     |    01/06/2026
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    Last Update Date     |    01/06/2026
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Provider Practice Location Address
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    Address Line         |    844 S 800 W SUITE 210
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    City                 |    DRAPER
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    State                |    UT
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    Zip                  |    84020
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    Country              |    US
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    Telephone            |    801-923-3537
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    919 CALLIE CT 
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    City                 |    NORTH SALT LAKE
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    State                |    UT
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    Zip                  |    84054-0165
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    Country              |    US
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    Telephone            |    801-923-3537
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    Fax                  |    801-753-0744
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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        |    106S00000X
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    Taxonomy Name        |    Behavior Technician
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    License Number       |    
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    License Number State |    
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