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General NPI Number Information
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NPI Number | 1962163949
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Entity Type | Individual
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Provider Name | JARED BRUCE HALL DDS
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Gender | Male
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Dates
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Enumeration Date | 01/03/2022
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 7238 SOUTH HIGHLAND DRIVE
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City | SANDY
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State | UT
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Zip | 84121
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Country | US
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Telephone | 385-217-4807
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Fax |
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Provider Business Mailing Address
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Address Line | 10346 S BEETDIGGER BLVD
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City | SANDY
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State | UT
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Zip | 84070-1345
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Country | US
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Telephone | 801-921-1415
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 14200940-9926
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License Number State | UT
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