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NPI Code Detail

MEDICARE: ARLENE CAROL CHANDICK TAYLOR PA-C

MEDICARE: ARLENE CAROL CHANDICK TAYLOR PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant50.007924RXOH

General Provider Information

NPI Number : 1063026805
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARLENE CAROL CHANDICK TAYLOR PA-C
Provider Business Mailing Address
First Line : 4922 PRINCETON DR
Second Line :
City : NORTH ROYALTON
State : OH
Zip : 44133-3122
Country : US
Telephone Number : 216-903-0946
Fax Number :
Provider Business Practice Location Address
First Line : 9500 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44195-0001
Country : US
Telephone Number : 216-444-2200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2020
Last Update Date : 02/16/2026

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