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General NPI Number Information
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NPI Number | 1790614980
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Entity Type | Organization
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Legal Business Name | WHOLE BODY CARE BY BRANDY MARIE PLLC
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Dates
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Enumeration Date | 05/14/2026
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Last Update Date | 05/15/2026
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Provider Practice Location Address
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Address Line | 1448 N 2000 W STE 3
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City | CLINTON
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State | UT
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Zip | 84015-8388
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Country | US
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Telephone | 801-528-4033
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Fax | 801-519-0977
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Provider Business Mailing Address
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Address Line | 1448 N 2000 W STE 3
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City | CLINTON
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State | UT
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Zip | 84015-8388
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Country | US
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Telephone | 801-528-4033
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Fax | 801-519-0977
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | BRANDY TAFOYA
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Credential | DNP FNP APRNC
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Telephone | 801-528-4033
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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