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General NPI Number Information
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NPI Number | 1083621775
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Entity Type | Individual
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Provider Name | ANDREA M. TAYLOR MS,PT
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Gender | Female
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 01/07/2009
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Provider Practice Location Address
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Address Line | 354 KAELEPULU DR APT D
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City | KAILUA
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State | HI
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Zip | 96734-3355
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Country | US
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Telephone | 808-277-6167
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Fax | 808-261-6440
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Provider Business Mailing Address
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Address Line | 354 KAELEPULU DR APT D
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City | KAILUA
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State | HI
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Zip | 96734-3355
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Country | US
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Telephone | 808-277-6167
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Fax | 808-261-6440
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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 | 1988
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License Number State | HI
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