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General NPI Number Information
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NPI Number | 1538063193
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Entity Type | Individual
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Provider Name | REBEKAH LYNN TAYLOR
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Gender | Female
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Dates
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Enumeration Date | 10/06/2026
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Last Update Date | 10/06/2026
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Provider Practice Location Address
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Address Line | 3058 N STATE RD
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City | DAVISON
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State | MI
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Zip | 48423-3508
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Country | US
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Telephone | 810-652-6315
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Fax | 810-652-6213
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Provider Business Mailing Address
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Address Line | 12246 E POTTER RD
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City | DAVISON
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State | MI
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Zip | 48423-8147
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Country | US
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Telephone | 248-881-7210
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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 | 5201013157
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License Number State | MI
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