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General NPI Number Information
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NPI Number | 1699633594
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Entity Type | Individual
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Provider Name | COLIN TAYLOR
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Gender | Male
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Dates
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Enumeration Date | 01/12/2026
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 3690 EAST AVE
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City | ROCHESTER
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State | NY
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Zip | 14618-3537
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Country | US
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Telephone | 585-385-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 53 STATE ST
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City | CANTON
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State | NY
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Zip | 13617-2001
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Country | US
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Telephone | 315-212-7027
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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 |
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License Number State | NY
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