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General NPI Number Information
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NPI Number | 1225596034
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Entity Type | Organization
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Legal Business Name | JAYBIRD AUDIOLOGY, LLC
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Dates
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Enumeration Date | 03/11/2019
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Last Update Date | 03/11/2019
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Provider Practice Location Address
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Address Line | 3556 W 9800 S STE 102
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City | SOUTH JORDAN
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State | UT
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Zip | 84095-3225
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Country | US
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Telephone | 801-440-9899
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Fax |
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Provider Business Mailing Address
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Address Line | 10073 S COPPER KING LN
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City | SOUTH JORDAN
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State | UT
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Zip | 84095-2477
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Country | US
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Telephone | 801-440-9899
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MINDY J BESS
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Credential | AUD
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Telephone | 801-440-9899
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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