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General NPI Number Information
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NPI Number | 1093995292
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Entity Type | Individual
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Provider Name | CLAYTON LLOYD TAYLOR D.P.T.
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Gender | Male
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Dates
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Enumeration Date | 11/06/2007
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Last Update Date | 11/06/2007
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Provider Practice Location Address
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Address Line | 590 E 100 N
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City | PRICE
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State | UT
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Zip | 84501-2640
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Country | US
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Telephone | 435-613-1500
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Fax |
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Provider Business Mailing Address
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Address Line | 740 S 500 W
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City | PRICE
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State | UT
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Zip | 84501-4320
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Country | US
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Telephone | 435-650-9903
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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 | 5628646-2401
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License Number State | UT
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