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General NPI Number Information
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NPI Number | 1134392269
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Entity Type | Individual
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Provider Name | MICHAL LEE TAYLOR M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/09/2008
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2400 EDISON ST
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City | BRUSH
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State | CO
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Zip | 80723-1640
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Country | US
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Telephone | 970-842-6720
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Fax | 970-842-6701
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Provider Business Mailing Address
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Address Line | 2400 WEST EDISON
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City | BRUSH
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State | CO
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Zip | 80723
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Country | US
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Telephone | 970-842-6720
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Fax | 970-842-6701
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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 | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 35.120100
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 45809
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 48194
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License Number State | CO
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