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General NPI Number Information
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NPI Number | 1417700956
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Entity Type | Organization
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Legal Business Name | TAYLORED 4 YOU HEALTH AND WELLNESS
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Dates
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Enumeration Date | 04/05/2024
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Last Update Date | 04/05/2024
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Provider Practice Location Address
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Address Line | 10708 BALLANTRAYE DR STE 206
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City | FREDERICKSBURG
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State | VA
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Zip | 22407-4701
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Country | US
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Telephone | 540-572-7595
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Fax |
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Provider Business Mailing Address
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Address Line | 6505 WILLOW POND DR
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City | FREDERICKSBURG
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State | VA
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Zip | 22407-8411
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Country | US
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Telephone | 205-253-3370
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | DR. TALISA CUMMINGS-TAYLOR
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Credential | PT, DPT
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Telephone | 205-253-3370
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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