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General NPI Number Information
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NPI Number | 1720323363
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Entity Type | Individual
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Provider Name | JARED A ESCOBAR RRT,BS
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Gender | Male
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Dates
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Enumeration Date | 12/08/2012
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Last Update Date | 12/08/2012
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Provider Practice Location Address
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Address Line | VETERANS HOSPITAL 500 FOOTHIL DR
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City | SALT LAKE CITY
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State | UT
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Zip | 84148-0001
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Country | US
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Telephone | 801-949-6492
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Fax |
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Provider Business Mailing Address
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Address Line | 11403 S SKYLUX AVE
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City | SOUTH JORDAN
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State | UT
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Zip | 84095-5046
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Country | US
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Telephone | 801-949-6492
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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 | 227900000X
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Taxonomy Name | Registered Respiratory Therapist
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License Number | 5843733-5701
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License Number State | UT
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