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General NPI Number Information
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NPI Number | 1134936115
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Entity Type | Individual
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Provider Name | TAYLOR LANG
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Gender | Female
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Dates
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Enumeration Date | 12/13/2024
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 6830 N HIGH ST
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City | WORTHINGTON
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State | OH
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Zip | 43085-2510
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Country | US
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Telephone | 614-888-4553
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Fax |
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Provider Business Mailing Address
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Address Line | 9539 DUNCAN PLAINS RD
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City | JOHNSTOWN
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State | OH
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Zip | 43031-9350
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Country | US
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Telephone | 740-755-1169
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT013180
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License Number State | OH
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