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General NPI Number Information
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NPI Number | 1447196738
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Entity Type | Individual
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Provider Name | SHAREN DENG
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Gender | Female
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Dates
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Enumeration Date | 04/28/2026
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Last Update Date | 04/28/2026
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Provider Practice Location Address
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Address Line | 4040 W DAYBREAK PKWY STE 120
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City | SOUTH JORDAN
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State | UT
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Zip | 84009-1287
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Country | US
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Telephone | 385-304-3370
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Fax |
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Provider Business Mailing Address
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Address Line | 727 E UTAH VALLEY DR
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City | AMERICAN FORK
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State | UT
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Zip | 84003-3345
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Country | US
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Telephone | 801-305-3460
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 14283539-9926
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License Number State | UT
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