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Individual
MATTHEW TAYLOR
Active
Individual
MATTHEW TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R10724
IA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
13359
SD
207RP1001X
Pulmonary Disease Physician
Primary
13359
SD
390200000X
Student in an Organized Health Care Education/Training Program
04512
KY
Other
Enumeration date
06/28/2016
Last updated
09/02/2022
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