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General NPI Number Information
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NPI Number | 1568842797
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Entity Type | Individual
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Provider Name | MATTHEW D. TAYLOR MD
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Gender | Male
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Dates
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Enumeration Date | 06/03/2015
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | PO BOX #1075 76 FORT EDDY RD. SUITE 1
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City | CONCORD
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State | NH
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Zip | 03301
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Country | US
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Telephone | 501-229-9346
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Fax | 603-326-7600
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Provider Business Mailing Address
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Address Line | PO BOX #1075 76 FORT EDDY RD. SUITE 1
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City | CONCORD
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State | NH
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Zip | 03301
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Country | US
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Telephone | 501-229-9346
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Fax | 603-326-7600
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4301501292
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | TPME3888
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License Number State | FL
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