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NPI Code Detail

MEDICARE: TAYLOR LYNN BUDWASH

MEDICARE:   TAYLOR LYNN BUDWASH
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
1231H00000XAudiologistAT006746PA

General Provider Information

NPI Number : 1174194518
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR LYNN BUDWASH
Provider Business Mailing Address
First Line : 920 WYOMING AVE
Second Line :
City : FORTY FORT
State : PA
Zip : 18704-3953
Country : US
Telephone Number : 570-714-2656
Fax Number : 570-714-2799
Provider Business Practice Location Address
First Line : 920 WYOMING AVE
Second Line :
City : FORTY FORT
State : PA
Zip : 18704-3953
Country : US
Telephone Number : 570-714-2656
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2021
Last Update Date : 07/07/2021

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Directions to “ TAYLOR LYNN BUDWASH ” Practice Location

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