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General NPI Number Information
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NPI Number | 1871218487
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Entity Type | Individual
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Provider Name | TYLER FARNSWORTH
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Gender | Male
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Dates
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Enumeration Date | 10/05/2022
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 934 S MAIN ST
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City | LAYTON
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State | UT
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Zip | 84041-7135
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Country | US
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Telephone | 13-361-8398
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Fax |
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Provider Business Mailing Address
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Address Line | 2661 WASHINGTON BLVD STE 102
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City | OGDEN
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State | UT
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Zip | 84401-3606
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Country | US
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Telephone | 801-621-8671
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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 | 13639105-6004
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License Number State | UT
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