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General NPI Number Information
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NPI Number | 1396603841
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Entity Type | Organization
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Legal Business Name | CEDAR BODYWORKS LLC
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Dates
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Enumeration Date | 01/13/2026
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 124 S FAIRFIELD RD UNIT A104
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City | LAYTON
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State | UT
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Zip | 84041-7105
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Country | US
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Telephone | 385-439-4298
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Fax |
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Provider Business Mailing Address
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Address Line | 124 S FAIRFIELD RD UNIT A104
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City | LAYTON
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State | UT
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Zip | 84041-7105
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Country | US
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Telephone | 385-439-4298
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BURGANDY BRANDI BALDERRAMA
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Credential | LMT
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Telephone | 385-439-4298
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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 |
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License Number State |
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