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General NPI Number Information
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NPI Number | 1023268299
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Entity Type | Individual
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Provider Name | JARED REED BROWN DMD MS
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Gender | Male
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Dates
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Enumeration Date | 09/24/2008
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Last Update Date | 08/25/2015
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Provider Practice Location Address
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Address Line | 493 S MAIN ST SUITE 100
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City | HEBER CITY
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State | UT
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Zip | 84032-2240
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Country | US
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Telephone | 435-654-4586
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Fax | 435-654-4961
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Provider Business Mailing Address
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Address Line | 493 S MAIN ST SUITE 100
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City | HEBER CITY
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State | UT
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Zip | 84032-2240
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Country | US
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Telephone | 435-654-4586
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Fax | 435-654-4961
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 6162283-9921
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License Number State | UT
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