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General NPI Number Information
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NPI Number | 1407530496
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Entity Type | Individual
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Provider Name | CHERYL TAYLOR MBA, CE
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Gender | Female
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Dates
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Enumeration Date | 06/12/2023
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Last Update Date | 06/12/2023
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Provider Practice Location Address
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Address Line | 975 RYE DR
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City | LA PLATA
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State | MD
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Zip | 20646-3295
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Country | US
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Telephone | 301-807-7973
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Fax | 240-266-2422
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Provider Business Mailing Address
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Address Line | 100 CENTENNIAL ST UNIT 4
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City | LA PLATA
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State | MD
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Zip | 20646-7500
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Country | US
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Telephone | 301-807-7973
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Fax | 240-266-2422
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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 | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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