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General NPI Number Information
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NPI Number | 1871076646
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Entity Type | Organization
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Legal Business Name | TAYLOR NEURO SPECIALISTS MA CCC-SLP LLC
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Dates
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Enumeration Date | 09/07/2018
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Last Update Date | 12/27/2024
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Provider Practice Location Address
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Address Line | 9255 W ALAMEDA AVE STE E
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City | LAKEWOOD
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State | CO
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Zip | 80226-2802
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Country | US
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Telephone | 720-449-3433
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Fax | 303-547-9959
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Provider Business Mailing Address
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Address Line | 9255 W ALAMEDA AVE STE E
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City | LAKEWOOD
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State | CO
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Zip | 80226-2802
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Country | US
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Telephone | 720-449-3433
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Fax | 303-547-9959
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST
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Name | TAYLOR SEITZ
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Credential | M.A., CCC-SLP
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Telephone | 719-648-3741
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State | CO
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