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General NPI Number Information
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NPI Number | 1023754132
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Entity Type | Individual
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Provider Name | TAYLER ESHBACH
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Gender | Female
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Dates
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Enumeration Date | 05/11/2022
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 1300 BRIDGE BARRIER RD BLDG 3
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City | CAROLINA BEACH
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State | NC
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Zip | 28428
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Country | US
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Telephone | 910-636-3574
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Fax |
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Provider Business Mailing Address
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Address Line | 4107 WATERCRAFT FERRY AVE APT 201
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City | WILMINGTON
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State | NC
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Zip | 28412
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Country | US
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Telephone | 570-419-2267
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | P21351
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License Number State | NC
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