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General NPI Number Information
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NPI Number | 1871220772
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Entity Type | Individual
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Provider Name | DANIEL JUSTIN ADAMS
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Gender | Male
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Dates
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Enumeration Date | 08/02/2022
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 5314 N RIVER RUN DR STE 350
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City | PROVO
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State | UT
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Zip | 84604-7708
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Country | US
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Telephone | 801-787-9855
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Fax |
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Provider Business Mailing Address
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Address Line | 5314 N RIVER RUN DR STE 350
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City | PROVO
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State | UT
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Zip | 84604-7708
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Country | US
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Telephone | 801-787-9855
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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 | 142643036009
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License Number State | UT
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