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General NPI Number Information
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NPI Number | 1801010996
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Entity Type | Individual
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Provider Name | MS. ERIN MICHELE TAYLOR
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Gender | Female
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1828 BRIDGEVIEW BLVD
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City | TWIN FALLS
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State | ID
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Zip | 83301
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Country | US
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Telephone | 208-736-3933
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Fax |
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Provider Business Mailing Address
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Address Line | 234 RANCH VIEW DR
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City | JEROME
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State | ID
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Zip | 83338
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Country | US
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Telephone | 208-404-4380
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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 | OT649
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License Number State | ID
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