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General NPI Number Information
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NPI Number | 1720927734
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Entity Type | Organization
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Legal Business Name | NICOLE TAYLOR MASSAGE
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Dates
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Enumeration Date | 03/26/2026
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Last Update Date | 03/26/2026
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Provider Practice Location Address
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Address Line | 3881 W 2340 S
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City | TAYLOR
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State | UT
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Zip | 84401-5902
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Country | US
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Telephone | 801-791-2048
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Fax | 801-457-1294
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Provider Business Mailing Address
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Address Line | 3881 W 2340 S
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City | TAYLOR
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State | UT
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Zip | 84401-5902
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NICOLE TAYLOR
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Credential | LMT
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Telephone | 801-791-2048
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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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