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General NPI Number Information
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NPI Number | 1891560041
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Entity Type | Organization
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Legal Business Name | UNITY MENTAL HEALTH CARE COMPANY LLC
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Dates
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Enumeration Date | 11/17/2023
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Last Update Date | 12/06/2023
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Provider Practice Location Address
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Address Line | 552 N MAIN ST RM B
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City | SPANISH FORK
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State | UT
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Zip | 84660-1442
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Country | US
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Telephone | 801-332-9031
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Fax |
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Provider Business Mailing Address
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Address Line | 10455 S 1440 W
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City | SOUTH JORDAN
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State | UT
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Zip | 84095-4528
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Country | US
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Telephone | 801-332-9031
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | DANIEL WALLACE DEWITT
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Credential |
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Telephone | 801-860-6208
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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