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NPI Code Detail

MEDICARE: SYDNEY HALL

MEDICARE: SYDNEY HALL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker14268334-3502UT

General Provider Information

NPI Number : 1487508420
Entity Type Code : Individual
Provider Name (Legal Business Name) : SYDNEY HALL
Provider Business Mailing Address
First Line : 1164 W 30 N
Second Line :
City : LEHI
State : UT
Zip : 84043-2399
Country : US
Telephone Number : 360-477-9099
Fax Number :
Provider Business Practice Location Address
First Line : 1234 W SOUTH JORDAN PKWY STE B2
Second Line :
City : SOUTH JORDAN
State : UT
Zip : 84095-4649
Country : US
Telephone Number : 801-821-4501
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2026
Last Update Date : 02/25/2026

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Directions to “ SYDNEY HALL ” Practice Location

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