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Contact Information

ANGIE J SHAW, CSW
195 N 1950 W
SALT LAKE CITY, UT84116-3100
 Phone: 801-462-5114
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Public Health, State or Local

261QP0905X
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for

NPI # 1477372761
Entity Organization
Organization subpart 1 Not specified
Enumeration date 10/04/2024
Last updated 10/04/2024 - More than a year ago
Identifiers
UT License # 7434446-3502
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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