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General NPI Number Information
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NPI Number | 1659241081
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Entity Type | Individual
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Provider Name | TAYLOR SINES
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Gender | Female
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Dates
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Enumeration Date | 11/10/2025
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 301 N KING ST
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City | SHEPHERDSTOWN
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State | WV
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Zip | 25443
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Country | US
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Telephone | 304-876-5688
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Fax |
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Provider Business Mailing Address
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Address Line | 1337 WEVERTON RD
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City | KNOXVILLE
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State | MD
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Zip | 21758-1133
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Country | US
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Telephone | 301-305-9665
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | R264507
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License Number State | MD
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