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General NPI Number Information
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NPI Number | 1598934945
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Entity Type | Individual
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Provider Name | EYVONNIA MCCRARY-TAYLOR
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Gender | Female
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Dates
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Enumeration Date | 02/29/2008
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Last Update Date | 09/22/2019
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Provider Practice Location Address
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Address Line | 6150 GLENVIEW DR
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City | NORTH RICHLAND HILLS
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State | TX
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Zip | 76180-9263
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Country | US
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Telephone | 801-942-3311
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Fax | 801-495-5303
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Provider Business Mailing Address
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Address Line | 6150 GLENVIEW DR
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City | NORTH RICHLAND HILLS
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State | TX
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Zip | 76180-9263
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Country | US
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Telephone | 702-277-3402
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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 | 0390
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 104260
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License Number State | TX
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