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General NPI Number Information
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NPI Number | 1003909656
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Entity Type | Organization
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Legal Business Name | TAYOP, INCORPORATED
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 08/12/2008
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Provider Practice Location Address
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Address Line | 3219 25TH ST
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City | LUBBOCK
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State | TX
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Zip | 79410-2135
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Country | US
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Telephone | 806-702-4525
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Fax | 806-702-4525
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Provider Business Mailing Address
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Address Line | 3219 25TH ST
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City | LUBBOCK
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State | TX
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Zip | 79410-2135
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Country | US
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Telephone | 806-702-4525
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Fax | 806-702-4525
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. T. SCOTT TAYLOR
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Credential | O.D.
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Telephone | 806-702-4525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 3855TG
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License Number State | TX
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