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General NPI Number Information
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NPI Number | 1720923634
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Entity Type | Individual
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Provider Name | SHAYDELL ANN STAMPER LMT
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Gender | Female
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Dates
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Enumeration Date | 04/20/2026
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Last Update Date | 04/20/2026
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Provider Practice Location Address
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Address Line | 4455 S 700 E STE 201
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City | SALT LAKE CITY
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State | UT
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Zip | 84107-3076
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Country | US
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Telephone | 801-634-8434
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Fax |
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Provider Business Mailing Address
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Address Line | 531 S 900 E APT A14
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City | SALT LAKE CITY
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State | UT
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Zip | 84102-2979
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Country | US
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Telephone | 208-643-2014
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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 | 14279405-4701
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License Number State | UT
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