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Individual
DR. TERESA M TAYLOR
Active
Individual
DR. TERESA M TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
398T
WY
152W00000X
Optometrist
OPT2576
CO
152W00000X
Optometrist
Primary
TLG35369
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114890700
—
WY
01
—
2576
OPT LICENSE
CO
01
—
35369
TLG LICENSE
CA
05
—
97871290
—
CO
Enumeration date
07/28/2005
Last updated
08/08/2023
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