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General NPI Number Information
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NPI Number | 1023530979
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Entity Type | Individual
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Provider Name | TAYLOR PRATT DMD
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Gender | Male
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Dates
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Enumeration Date | 07/12/2017
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 361 GRANT AVE
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City | JUNCTION CITY
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State | KS
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Zip | 66441-4201
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Country | US
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Telephone | 785-238-4711
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Fax |
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Provider Business Mailing Address
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Address Line | 720 LADERA CIR
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City | MANHATTAN
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State | KS
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Zip | 66503-4005
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 61444
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License Number State | KS
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