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NPI 1891164752

NPI 1891164752 : KATHERINE DEAN TUREK CSW : LAYTON, UT

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General NPI Number Information
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    NPI Number           |    1891164752
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    Entity Type          |    Individual 
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    Provider Name        |    KATHERINE DEAN TUREK CSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/22/2015
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    Last Update Date     |    04/20/2017
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Provider Practice Location Address
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    Address Line         |    476 WEST HERITAGE PARK BLVD SUITE 220
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    City                 |    LAYTON
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    State                |    UT
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    Zip                  |    84040
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    Country              |    US
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    Telephone            |    801-425-0227
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    Fax                  |    801-627-8817
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Provider Business Mailing Address
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    Address Line         |    1181 CHRISTMAS BOX LANE MONARCH COUNSELING AND HEALING CENTER
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    City                 |    OGDEN
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    State                |    UT
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    Zip                  |    84404
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    Country              |    US
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    Telephone            |    801-425-0227
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    Fax                  |    801-627-8817
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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       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    10260136-3502
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    License Number State |    UT
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