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NPI Code Detail

MEDICARE: TAYLOR RICHMOND PRSS

MEDICARE: TAYLOR RICHMOND PRSS
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
1175T00000XPeer Specialist26-905SUDWV

General Provider Information

NPI Number : 1336081017
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR RICHMOND PRSS
Provider Business Mailing Address
First Line : 200 12TH STREET EXT
Second Line :
City : PRINCETON
State : WV
Zip : 24740-2329
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 200 12TH STREET EXT
Second Line :
City : PRINCETON
State : WV
Zip : 24740-2329
Country : US
Telephone Number : 304-425-9541
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2026
Last Update Date : 04/09/2026

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Directions to “ TAYLOR RICHMOND PRSS” Practice Location

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