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General NPI Number Information
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NPI Number | 1013785195
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Entity Type | Individual
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Provider Name | TAYLOR SMITH PA-C
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Gender | Female
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Dates
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Enumeration Date | 12/18/2023
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Last Update Date | 09/17/2024
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Provider Practice Location Address
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Address Line | 310 RODI RD STE 100
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City | PITTSBURGH
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State | PA
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Zip | 15235-3318
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Country | US
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Telephone | 412-242-0777
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Fax |
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Provider Business Mailing Address
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Address Line | 2664 COUNTRY CLUB DR
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City | PITTSBURGH
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State | PA
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Zip | 15205-8704
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | MA065191
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License Number State | PA
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