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General NPI Number Information
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NPI Number | 1972807378
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Entity Type | Individual
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Provider Name | KAREN LYNN TAYLOR PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 12/29/2010
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Last Update Date | 04/07/2024
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Provider Practice Location Address
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Address Line | 2250 WOODSIDE EXECUTIVE CT
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City | AIKEN
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State | SC
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Zip | 29803-3812
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Country | US
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Telephone | 803-640-8757
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Fax |
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Provider Business Mailing Address
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Address Line | 757 N CHESTNUT ST APT 401
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City | WINSTON SALEM
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State | NC
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Zip | 27101-3096
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Country | US
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Telephone | 803-640-8757
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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 | P22437
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License Number State | NC
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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 | 4221
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License Number State | SC
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