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General NPI Number Information
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NPI Number | 1598332561
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Entity Type | Individual
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Provider Name | ALEXANDREA TAYLOR
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Gender | Female
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Dates
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Enumeration Date | 06/08/2021
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Last Update Date | 06/08/2021
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Provider Practice Location Address
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Address Line | 2477 GREEN PINE DR APT 3
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City | BURTON
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State | MI
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Zip | 48519-1176
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Country | US
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Telephone | 810-336-7323
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Fax |
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Provider Business Mailing Address
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Address Line | 2805 BYNAN DR APT 305
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City | YPSILANTI
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State | MI
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Zip | 48197-1271
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Country | US
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Telephone | 810-338-0244
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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 | 372500000X
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Taxonomy Name | Chore Provider
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License Number |
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License Number State |
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