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General NPI Number Information
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NPI Number | 1033953286
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Entity Type | Individual
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Provider Name | SAVANNAH MARIE MUNOZ
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Gender | Female
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Dates
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Enumeration Date | 06/22/2024
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 567 W 2600 S
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City | BOUNTIFUL
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State | UT
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Zip | 84010-7781
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Country | US
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Telephone | 385-289-6675
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Fax | 207-888-0178
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Provider Business Mailing Address
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Address Line | 2342 S 150 W
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City | CLEARFIELD
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State | UT
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Zip | 84015-2023
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Country | US
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Telephone | 385-289-6675
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Fax | 207-888-0178
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 13793992-4701
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License Number State | UT
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