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General NPI Number Information
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NPI Number | 1750292777
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Entity Type | Individual
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Provider Name | BETH BRUTON
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Gender | Female
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Dates
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Enumeration Date | 09/16/2026
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Last Update Date | 09/16/2026
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Provider Practice Location Address
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Address Line | 10718 S BECKSTEAD LN STE 103
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City | SOUTH JORDAN
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State | UT
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Zip | 84095-2605
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Country | US
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Telephone | 801-477-0041
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Fax |
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Provider Business Mailing Address
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Address Line | 2275 W 250 S UNIT I105
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City | PLEASANT GROVE
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State | UT
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Zip | 84062-5532
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Country | US
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Telephone | 801-615-3996
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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