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General NPI Number Information
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NPI Number | 1124912365
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Entity Type | Individual
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Provider Name | JASON GALE PHARMD
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Gender | Male
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Dates
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Enumeration Date | 06/04/2025
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 3580 W 9000 S
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City | WEST JORDAN
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State | UT
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Zip | 84088-8812
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Country | US
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Telephone | 801-562-4290
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Fax |
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Provider Business Mailing Address
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Address Line | 2067 E ASH DOWN LN
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City | DRAPER
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State | UT
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Zip | 84020-2512
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Country | US
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Telephone | 801-678-1084
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 5248891-1701
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License Number State | UT
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