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NPI Code Detail

MEDICARE: TAYLOR ROSE HALLWORTH

MEDICARE: TAYLOR ROSE HALLWORTH
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
1367H00000XAnesthesiologist Assistant

General Provider Information

NPI Number : 1518890243
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR ROSE HALLWORTH
Provider Business Mailing Address
First Line : 6505 LYNLEIGH CIR NW
Second Line :
City : CANTON
State : OH
Zip : 44708-1189
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1320 MERCY DR NW
Second Line :
City : CANTON
State : OH
Zip : 44708-2614
Country : US
Telephone Number : 330-489-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2026
Last Update Date : 06/03/2026

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Directions to “ TAYLOR ROSE HALLWORTH ” Practice Location

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