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General NPI Number Information
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NPI Number | 1043865215
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Entity Type | Individual
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Provider Name | TAYLOR CHADWICK BRYAN DPT
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Gender | Male
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Dates
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Enumeration Date | 08/05/2019
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 29 SHUCKIN ST STE 101
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City | HAMPSTEAD
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State | NC
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Zip | 28443-8725
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Country | US
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Telephone | 910-332-3828
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Fax | 910-251-0421
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Provider Business Mailing Address
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Address Line | PO BOX 5105
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City | BELFAST
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State | ME
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Zip | 04915-5100
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Country | US
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Telephone | 910-332-3828
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Fax | 910-251-0421
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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 | P19064
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License Number State | NC
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