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General NPI Number Information
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NPI Number | 1356717771
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Entity Type | Individual
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Provider Name | TAYLOR M HASELEY MS., OTR/L
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Gender | Female
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Dates
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Enumeration Date | 08/19/2015
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Last Update Date | 12/20/2023
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Provider Practice Location Address
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Address Line | 1825 TIBBETTS WICK RD
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City | GIRARD
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State | OH
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Zip | 44420-1222
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Country | US
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Telephone | 330-759-9233
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Fax |
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Provider Business Mailing Address
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Address Line | 3933 LINDA WAY
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City | NEW WATERFORD
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State | OH
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Zip | 44445-9769
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Country | US
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Telephone | 330-843-7843
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT.008725
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License Number State | OH
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