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General NPI Number Information
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NPI Number | 1881288512
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Entity Type | Individual
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Provider Name | CINDY LYN HANSEN
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Gender | Female
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Dates
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Enumeration Date | 02/23/2021
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 578 E 300 S
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City | AMERICAN FORK
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State | UT
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Zip | 84003-3831
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Country | US
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Telephone | 801-763-5010
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Fax | 801-763-0461
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Provider Business Mailing Address
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Address Line | 750 N FREEDOM BLVD
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City | PROVO
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State | UT
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Zip | 84601-1677
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Country | US
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Telephone | 801-373-4760
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Fax | 801-373-0639
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 279603-3503
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 279603-3502
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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