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General NPI Number Information
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NPI Number | 1982419404
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Entity Type | Individual
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Provider Name | REBECCA L THIEGS LCMHC
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Gender | Female
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Dates
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Enumeration Date | 02/11/2025
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 370 W 1425 N APT 10
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City | CEDAR CITY
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State | UT
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Zip | 84721-8997
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Country | US
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Telephone | 773-606-7227
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Fax |
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Provider Business Mailing Address
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Address Line | 370 W 1425 N APT 10
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City | CEDAR CITY
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State | UT
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Zip | 84721-8997
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Country | US
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Telephone |
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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 | 102L00000X
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Taxonomy Name | Psychoanalyst
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License Number | 12369684-6004
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License Number State | UT
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