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General NPI Number Information
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NPI Number | 1194816942
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Entity Type | Organization
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Legal Business Name | TAYLOR THERAPY CENTER PC
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 12/14/2010
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Provider Practice Location Address
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Address Line | 9 ELMWOOD COURT
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City | NEWINGTON
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State | CT
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Zip | 06111
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Country | US
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Telephone | 860-953-1204
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Fax | 860-953-1208
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Provider Business Mailing Address
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Address Line | 9 ELMWOOD COURT
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City | NEWINGTON
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State | CT
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Zip | 06111
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Country | US
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Telephone | 860-953-1204
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Fax | 860-953-1208
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Authorized Official
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Title or Position | PRESIDENT TREASURER
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Name | DR. JOAN-ALICE TAYLOR
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Credential | PT PSYD
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Telephone | 860-953-1204
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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