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General NPI Number Information
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NPI Number | 1881362994
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Entity Type | Individual
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Provider Name | LEANNA DOPP
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Gender | Female
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Dates
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Enumeration Date | 09/02/2021
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 748 S WOOD BRIAR WAY
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City | NORTH SALT LAKE
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State | UT
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Zip | 84054-3339
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Country | US
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Telephone | 805-208-5309
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Fax |
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Provider Business Mailing Address
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Address Line | 748 S WOOD BRIAR WAY
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City | NORTH SALT LAKE
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State | UT
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Zip | 84054-3339
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Country | US
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Telephone | 805-208-5309
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 4171963
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License Number State | ID
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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 | 13402906-3501
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License Number State | UT
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