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NPI Code Detail

MEDICARE: TAYLOR MARIA RODERICK

MEDICARE: TAYLOR MARIA RODERICK
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
12355S0801XSpeech-Language Assistant
2235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1982349064
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR MARIA RODERICK
Provider Business Mailing Address
First Line : 25 GARDEN ST
Second Line :
City : EAST TAUNTON
State : MA
Zip : 02718-1021
Country : US
Telephone Number : 508-431-6005
Fax Number :
Provider Business Practice Location Address
First Line : 800 TECHNOLOGY CENTER DR STE 110
Second Line :
City : STOUGHTON
State : MA
Zip : 02072-4721
Country : US
Telephone Number : 781-290-3886
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2022
Last Update Date : 03/30/2023

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Directions to “ TAYLOR MARIA RODERICK ” Practice Location

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