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General NPI Number Information
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NPI Number | 1720888787
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Entity Type | Individual
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Provider Name | TAYLINN ELIZABETH FRANA PTA
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Gender | Female
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Dates
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Enumeration Date | 03/18/2025
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 8274 E SAN RD
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City | SOUTH RANGE
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State | WI
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Zip | 54874-8621
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Country | US
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Telephone | 715-398-3523
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Fax | 715-374-2236
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Provider Business Mailing Address
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Address Line | 415 23RD AVE E
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City | SUPERIOR
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State | WI
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Zip | 54880-3739
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Country | US
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Telephone | 612-281-1153
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 4238
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License Number State | WI
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