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NPI Code Detail

MEDICARE: ANDREW TAYLOR

MEDICARE:   ANDREW  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
1225100000XPhysical Therapist9985MN

General Provider Information

NPI Number : 1700336088
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW TAYLOR
Provider Business Mailing Address
First Line : 5430 BOONE AVE N
Second Line :
City : NEW HOPE
State : MN
Zip : 55428-3615
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5430 BOONE AVE N
Second Line :
City : NEW HOPE
State : MN
Zip : 55428-3615
Country : US
Telephone Number : 763-592-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2016
Last Update Date : 10/10/2016

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Directions to “ ANDREW TAYLOR ” Practice Location

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