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NPI 1033122593

NPI 1033122593 : TIMOTHY SCOTT TAYLOR PT : MAUMEE, OH

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General NPI Number Information
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    NPI Number           |    1033122593
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    Entity Type          |    Individual 
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    Provider Name        |    TIMOTHY SCOTT TAYLOR PT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/15/2006
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    Last Update Date     |    12/03/2025
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Provider Practice Location Address
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    Address Line         |    1560 HENTHORNE DR. 
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    City                 |    MAUMEE
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    State                |    OH
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    Zip                  |    43537-1371
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    Country              |    US
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    Telephone            |    419-866-5196
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    Fax                  |    419-866-5663
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Provider Business Mailing Address
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    Address Line         |    1560 HENTHORNE DR. 
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    City                 |    MAUMEE
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    State                |    OH
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    Zip                  |    43537-1371
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    Country              |    US
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    Telephone            |    419-866-5196
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    Fax                  |    419-866-5663
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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       |    PT009404
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    License Number State |    OH
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