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General NPI Number Information
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NPI Number | 1255479747
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Entity Type | Individual
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Provider Name | SEASON PAIGE TAYLOR PT
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Gender | Female
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 10/04/2024
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Provider Practice Location Address
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Address Line | 125 N COURT ST
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City | WESTMINSTER
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State | MD
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Zip | 21157-5192
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Country | US
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Telephone | 410-751-3033
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Fax |
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Provider Business Mailing Address
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Address Line | 501 SADDLEBACK TRL
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City | MOUNT AIRY
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State | MD
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Zip | 21771-4065
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Country | US
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Telephone | 301-807-0331
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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 | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 21140
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License Number State | MD
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