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General NPI Number Information
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NPI Number | 1861360315
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Entity Type | Individual
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Provider Name | HAYDEN DAYLE ALLEN
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Gender | Male
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Dates
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Enumeration Date | 10/27/2025
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 520 E 770 N
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City | OREM
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State | UT
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Zip | 84097-4101
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Country | US
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Telephone | 385-412-9880
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Fax |
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Provider Business Mailing Address
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Address Line | 1439 S 465 W
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City | OREM
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State | UT
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Zip | 84058-7389
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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 |
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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 | 14235972-6009
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License Number State | UT
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