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NPI 1962431361

NPI 1962431361 : DEBRA TAYLOR P.T. : MOBILE, AL

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General NPI Number Information
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    NPI Number           |    1962431361
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    Entity Type          |    Individual 
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    Provider Name        |    DEBRA TAYLOR P.T.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/30/2006
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    Last Update Date     |    12/18/2024
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Provider Practice Location Address
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    Address Line         |    1261 HILLCREST RD # B1 
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    City                 |    MOBILE
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    State                |    AL
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    Zip                  |    36695-4026
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    Country              |    US
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    Telephone            |    251-344-4212
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    Fax                  |    251-306-0153
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Provider Business Mailing Address
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    Address Line         |    1261 HILLCREST RD # B1 
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    City                 |    MOBILE
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    State                |    AL
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    Zip                  |    36695-4026
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    Country              |    US
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    Telephone            |    251-344-4212
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    Fax                  |    251-306-0153
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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       |    PTH2461
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    License Number State |    AL
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Taxonomy #2
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    Taxonomy Code        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    PTH2461
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    License Number State |    AL
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