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General NPI Number Information
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NPI Number | 1598357675
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Entity Type | Organization
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Legal Business Name | KERRY DEYO TAYLOR WELLNESS, INC
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Dates
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Enumeration Date | 02/09/2021
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 1820 WESTERN AVE
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City | ALBANY
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State | NY
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Zip | 12203-4622
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Country | US
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Telephone | 518-512-9626
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Fax |
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Provider Business Mailing Address
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Address Line | 1820 WESTERN AVE
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City | ALBANY
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State | NY
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Zip | 12203-4622
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Country | US
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Telephone | 518-512-9626
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Fax |
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Authorized Official
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Title or Position | INSURANCE AND BILLING SPECIALIST
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Name | MARISSA STONE
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Credential |
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Telephone | 518-538-9888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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