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General NPI Number Information
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NPI Number | 1861001083
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Entity Type | Individual
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Provider Name | MARINA CHEUNG TAYLOR DPT
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Gender | Female
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Dates
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Enumeration Date | 07/23/2020
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Last Update Date | 04/25/2025
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Provider Practice Location Address
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Address Line | 500 CARLSON PKWY
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City | MINNETONKA
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State | MN
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Zip | 55305-5304
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Country | US
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Telephone | 877-407-3422
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Fax | 877-407-4329
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Provider Business Mailing Address
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Address Line | 615 SCHWALEN CT
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City | HUDSON
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State | WI
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Zip | 54016-8319
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Country | US
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Telephone | 914-843-6026
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 9900
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 14525-24
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License Number State | WI
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