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NPI 1609490051

NPI 1609490051 : TAYLOR CHMURA MS, CGC : MIDLAND, MI

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General NPI Number Information
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    NPI Number           |    1609490051
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    Entity Type          |    Individual 
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    Provider Name        |    TAYLOR CHMURA MS, CGC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/02/2020
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    Last Update Date     |    10/02/2025
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Provider Practice Location Address
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    Address Line         |    4201 CAMPUS RIDGE DR 
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    City                 |    MIDLAND
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    State                |    MI
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    Zip                  |    48670-4200
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    Country              |    US
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    Telephone            |    989-794-0320
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    Fax                  |    989-839-1458
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Provider Business Mailing Address
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    Address Line         |    4000 WELLNESS DR 
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    City                 |    MIDLAND
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    State                |    MI
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    Zip                  |    48670-1000
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    Country              |    US
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    Telephone            |    844-832-1956
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    Fax                  |    989-633-5241
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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        |    170300000X
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    Taxonomy Name        |    Genetic Counselor (M.S.)
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    License Number       |    7201000012
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    License Number State |    MI
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