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General NPI Number Information
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NPI Number | 1407434376
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Entity Type | Individual
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Provider Name | TAYLOR MATTHEW FIX DO
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Gender | Male
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Dates
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Enumeration Date | 03/31/2021
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 1201 S GRAND BLVD
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City | SAINT LOUIS
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State | MO
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Zip | 63104-1016
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Country | US
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Telephone | 314-617-3557
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Fax |
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Provider Business Mailing Address
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Address Line | 8500 MARYLAND AVE APT 509
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City | CLAYTON
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State | MO
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Zip | 63124-2318
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Country | US
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Telephone | 281-450-3609
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0102208575
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2025035238
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 2025035238
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License Number State | MO
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