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NPI Code Detail

MEDICARE: SHAWNH M TAYLOR

MEDICARE: SHAWNH M TAYLOR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WW0000XWound Care Registered Nurse298586OH

General Provider Information

NPI Number : 1023305919
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAWNH M TAYLOR
Provider Business Mailing Address
First Line : 1200 SYCAMORE LINE
Second Line :
City : SANDUSKY
State : OH
Zip : 44870-4029
Country : US
Telephone Number : 419-625-5269
Fax Number : 419-625-6443
Provider Business Practice Location Address
First Line : 1200 SYCAMORE LINE
Second Line :
City : SANDUSKY
State : OH
Zip : 44870-4029
Country : US
Telephone Number : 419-625-5269
Fax Number : 419-625-6443
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2011
Last Update Date : 06/30/2011

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Directions to “ SHAWNH M TAYLOR ” Practice Location

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