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General NPI Number Information
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NPI Number | 1194682989
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Entity Type | Individual
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Provider Name | TAYLOR HEYWOOD PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 01/06/2026
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 1959 S VAL VISTA DR STE 106
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City | MESA
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State | AZ
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Zip | 85204-7357
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Country | US
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Telephone | 480-545-1398
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Fax |
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Provider Business Mailing Address
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Address Line | 3102 E HARVARD AVE
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City | GILBERT
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State | AZ
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Zip | 85234-2021
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Country | US
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Telephone | 480-404-8939
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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 | LPT-034595
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License Number State | AZ
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