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NPI Code Detail

MEDICARE: TIMOTHY ANDREW ARAGON

MEDICARE: TIMOTHY ANDREW ARAGON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker
21041C0700XClinical Social Worker3082786-3501UT

General Provider Information

NPI Number : 1568926186
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIMOTHY ANDREW ARAGON
Provider Business Mailing Address
First Line : 172 N EAST PROMONTORY STE 270
Second Line :
City : FARMINGTON
State : UT
Zip : 84025-2964
Country : US
Telephone Number : 801-382-8238
Fax Number : 866-560-4702
Provider Business Practice Location Address
First Line : 172 N EAST PROMONTORY STE 270
Second Line :
City : FARMINGTON
State : UT
Zip : 84025-2964
Country : US
Telephone Number : 801-382-8238
Fax Number : 866-560-4702
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2019
Last Update Date : 06/18/2025

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