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General NPI Number Information
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NPI Number | 1912594375
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Entity Type | Individual
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Provider Name | SADIE P TAYLOR
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Gender | Female
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Dates
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Enumeration Date | 12/30/2020
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Last Update Date | 12/30/2020
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Provider Practice Location Address
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Address Line | 991 TOWNSHIP ROAD 1546
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City | ASHLAND
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State | OH
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Zip | 44805-8522
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Country | US
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Telephone | 567-241-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 991 TOWNSHIP ROAD 1546
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City | ASHLAND
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State | OH
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Zip | 44805-8522
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Country | US
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Telephone | 567-241-8000
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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 | 376J00000X
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Taxonomy Name | Homemaker
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License Number | 0412987
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License Number State | OH
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