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General NPI Number Information
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NPI Number | 1346872801
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Entity Type | Individual
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Provider Name | TAYLOR A MATTHEWS
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Gender | Female
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Dates
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Enumeration Date | 02/12/2020
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 2055 VT RTE 122
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City | SHEFFIELD
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State | VT
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Zip | 05866-9446
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Country | US
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Telephone | 603-716-7532
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Fax |
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Provider Business Mailing Address
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Address Line | 2055 VT RTE 122
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City | LYNDON CENTER
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State | VT
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Zip | 05850-9446
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Country | US
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Telephone | 603-716-7532
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-20-43804
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License Number State | FL
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