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General NPI Number Information
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NPI Number | 1922294198
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Entity Type | Organization
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Legal Business Name | VALLEY MENTAL HEALTH INCORPORATED
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Dates
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Enumeration Date | 09/20/2007
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Last Update Date | 08/25/2011
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Provider Practice Location Address
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Address Line | 1141 E 3900 S SUITE A200
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City | SALT LAKE CITY
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State | UT
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Zip | 84124-1215
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Country | US
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Telephone | 801-264-2300
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Fax | 801-264-2328
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Provider Business Mailing Address
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Address Line | 5965 S 900 E SUITE 420
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City | SALT LAKE CITY
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State | UT
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Zip | 84121-1720
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Country | US
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Telephone | 801-263-7100
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Fax | 801-263-7123
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | DEBRA L FALVO
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Credential | MHSA/RNC
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Telephone | 801-263-7100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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