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NPI 1184511164

NPI 1184511164 : TAYLOR BRUMFIELD : THE WOODLANDS, TX

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General NPI Number Information
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    NPI Number           |    1184511164
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    Entity Type          |    Individual 
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    Provider Name        |    TAYLOR BRUMFIELD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/21/2025
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    Last Update Date     |    06/21/2025
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Provider Practice Location Address
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    Address Line         |    2204 TIMBERLOCH PL STE 250 
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    City                 |    THE WOODLANDS
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    State                |    TX
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    Zip                  |    77380-1049
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    Country              |    US
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    Telephone            |    512-688-5694
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    11900 CITY PARK CENTRAL LN APT 5109 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77047-3297
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    Country              |    US
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    Telephone            |    
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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        |    224Z00000X
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    Taxonomy Name        |    Occupational Therapy Assistant
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    License Number       |    218768
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    License Number State |    TX
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