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NPI Code Detail

MEDICARE: DORIS TAYLOR

MEDICARE:   DORIS  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
1171M00000XCase Manager/Care Coordinator
2374U00000XHome Health Aide

General Provider Information

NPI Number : 1902933849
Entity Type Code : Individual
Provider Name (Legal Business Name) : DORIS TAYLOR
Provider Business Mailing Address
First Line : 4837 PALACIO CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89122-6135
Country : US
Telephone Number : 661-376-8581
Fax Number : 661-324-1652
Provider Business Practice Location Address
First Line : 3930 HOWARD HUGHES PKWY STE 300L
Second Line :
City : LAS VEGAS
State : NV
Zip : 89169-0946
Country : US
Telephone Number : 702-560-2192
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2007
Last Update Date : 03/26/2024

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Directions to “ DORIS TAYLOR ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.