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General NPI Number Information
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NPI Number | 1972326627
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Entity Type | Organization
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Legal Business Name | GENDER HARMONY INSTITUTE INC
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Dates
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Enumeration Date | 11/01/2024
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | 4314 S COMMERCE DR
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City | MURRAY
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State | UT
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Zip | 84107-2630
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Country | US
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Telephone | 385-474-1479
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 17227
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City | SALT LAKE CITY
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State | UT
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Zip | 84117-0227
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Country | US
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Telephone | 801-433-2480
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Fax | 801-797-6400
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. JEFFREY STEWART BENNION
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Credential | MS, LMFT
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Telephone | 801-884-7469
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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