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General NPI Number Information
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NPI Number | 1508788563
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Entity Type | Individual
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Provider Name | MATTHEW DEAN TAYLOR
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Gender | Male
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Dates
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Enumeration Date | 07/29/2026
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Last Update Date | 07/29/2026
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Provider Practice Location Address
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Address Line | 12130 PENNSYLVANIA ST
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City | THORNTON
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State | CO
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Zip | 80241-3132
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Country | US
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Telephone | 720-806-5019
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Fax |
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Provider Business Mailing Address
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Address Line | 6705 W 56TH AVE APT 301
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City | ARVADA
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State | CO
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Zip | 80002-3214
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Country | US
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Telephone | 913-225-4420
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | OT.0009429
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License Number State | CO
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