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NPI Code Detail

MEDICARE: EBONY SHARDE TAYLOR

MEDICARE: EBONY SHARDE 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
1106S00000XBehavior TechnicianMD

General Provider Information

NPI Number : 1043164940
Entity Type Code : Individual
Provider Name (Legal Business Name) : EBONY SHARDE TAYLOR
Provider Business Mailing Address
First Line : 22844 OUR LADYS LN
Second Line :
City : LEXINGTON PARK
State : MD
Zip : 20653-2123
Country : US
Telephone Number : 240-577-8229
Fax Number :
Provider Business Practice Location Address
First Line : 4741 COLONEL ASHTON PL
Second Line :
City : UPPER MARLBORO
State : MD
Zip : 20772-2881
Country : US
Telephone Number : 301-379-9654
Fax Number : 240-377-0226
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2026
Last Update Date : 02/26/2026

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Directions to “ EBONY SHARDE TAYLOR ” Practice Location

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