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General NPI Number Information
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NPI Number | 1326923962
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Entity Type | Individual
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Provider Name | TAYLOR LAUREN BLAYWAYS AUD
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Gender | Female
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Dates
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Enumeration Date | 08/11/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 3741 W 12600 S STE 100
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City | RIVERTON
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State | UT
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Zip | 84065-7215
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Country | US
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Telephone | 833-577-3422
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 30180
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City | SALT LAKE CITY
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State | UT
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Zip | 84130-0180
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 14235754-4101
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License Number State | UT
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