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General NPI Number Information
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NPI Number | 1598130585
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Entity Type | Individual
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Provider Name | JEFFREY PATRICK FOREST D.C.
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Gender | Male
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Dates
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Enumeration Date | 12/02/2015
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Last Update Date | 03/29/2016
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Provider Practice Location Address
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Address Line | 33 N 470 W
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City | AMERICAN FORK
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State | UT
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Zip | 84003-2267
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Country | US
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Telephone | 801-692-6880
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Fax | 801-692-6065
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Provider Business Mailing Address
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Address Line | 33 N 470 W
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City | AMERICAN FORK
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State | UT
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Zip | 84003-2267
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Country | US
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Telephone | 801-692-6880
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Fax | 801-692-6065
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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 | 9567321-1202
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License Number State | UT
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