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General NPI Number Information
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NPI Number | 1013396829
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Entity Type | Organization
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Legal Business Name | TAYLOR PHYSICAL THERAPY AND SPORTS HEALTH, LLC
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Dates
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Enumeration Date | 05/26/2015
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Last Update Date | 03/02/2016
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Provider Practice Location Address
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Address Line | 4949 GALAXY PKWY SUITE S
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City | CLEVELAND
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State | OH
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Zip | 44128-5970
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Country | US
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Telephone | 216-505-8500
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Fax | 216-586-3886
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Provider Business Mailing Address
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Address Line | PO BOX 1083
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City | TWINSBURG
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State | OH
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Zip | 44087-9083
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Country | US
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Telephone | 216-505-8500
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Fax | 216-586-3886
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Authorized Official
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Title or Position | CEO
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Name | DR. WILLIAM MARCUS TAYLOR
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Credential | DPT
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Telephone | 216-505-8500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 009537
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License Number State | OH
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