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General NPI Number Information
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NPI Number | 1235299561
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Entity Type | Organization
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Legal Business Name | RODNEY M. JEX DPM
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 425 MEDICAL DR STE 215
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City | BOUNTIFUL
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State | UT
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Zip | 84010-4945
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Country | US
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Telephone | 801-292-9222
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Fax | 801-298-3987
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Provider Business Mailing Address
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Address Line | 425 MEDICAL DR STE 215
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City | BOUNTIFUL
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State | UT
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Zip | 84010-4945
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Country | US
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Telephone | 801-292-9222
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Fax | 801-298-3987
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Authorized Official
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Title or Position | OWNER
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Name | DR. RODNEY M. JEX
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Credential | DPM
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Telephone | 801-292-9222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 22-102019-0501
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License Number State | UT
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