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General NPI Number Information
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NPI Number | 1508576364
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Entity Type | Individual
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Provider Name | JARED BYINGTON DC
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Gender | Male
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Dates
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Enumeration Date | 12/01/2022
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Last Update Date | 12/01/2022
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Provider Practice Location Address
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Address Line | 12447 S CROSSING DR STE 109
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City | RIVERTON
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State | UT
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Zip | 84096-7010
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Country | US
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Telephone | 385-434-0123
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Fax |
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Provider Business Mailing Address
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Address Line | 8846 N PRINCEVILLE DR
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City | EAGLE MOUNTAIN
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State | UT
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Zip | 84005-6004
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Country | US
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Telephone | 208-572-1709
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 12662208-1202
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License Number State | UT
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