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General NPI Number Information
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NPI Number | 1568322758
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Entity Type | Individual
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Provider Name | ABIGAIL BAIRD LMT
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Gender | Female
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Dates
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Enumeration Date | 11/12/2025
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 1787 E FORT UNION BLVD STE 101
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City | SALT LAKE CITY
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State | UT
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Zip | 84121-2868
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Country | US
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Telephone | 385-526-3925
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Fax |
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Provider Business Mailing Address
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Address Line | 4657 W AIRE DR
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City | WEST JORDAN
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State | UT
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Zip | 84088-7805
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Country | US
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Telephone | 801-857-5652
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 142012954701
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License Number State | UT
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