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General NPI Number Information
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NPI Number | 1881221828
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Entity Type | Individual
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Provider Name | MONICA ANN HULLINGER CMHC
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Gender | Female
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Dates
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Enumeration Date | 03/26/2020
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Last Update Date | 03/26/2020
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Provider Practice Location Address
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Address Line | 1169 S 600 E
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City | PAYSON
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State | UT
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Zip | 84651-4561
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Country | US
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Telephone | 801-864-0801
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Fax |
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Provider Business Mailing Address
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Address Line | 4076 W 5600 S
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City | SPANISH FORK
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State | UT
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Zip | 84660-4333
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Country | US
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Telephone | 801-362-9144
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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 | 313676-6004
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License Number State | UT
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