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General NPI Number Information
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NPI Number | 1316808801
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Entity Type | Individual
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Provider Name | MATTHEW S. TAYLOR LMT
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Gender | Male
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Dates
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Enumeration Date | 11/24/2025
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 5963 EXCHANGE DR STE 110
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City | SYKESVILLE
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State | MD
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Zip | 21784-9256
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Country | US
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Telephone | 410-376-8494
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Fax |
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Provider Business Mailing Address
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Address Line | 5105 VALLEY HILL DR
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City | MOUNT AIRY
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State | MD
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Zip | 21771-8815
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Country | US
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Telephone | 410-868-8336
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | M056026
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License Number State | MD
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