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General NPI Number Information
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NPI Number | 1023572088
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Entity Type | Individual
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Provider Name | TAYLOR DAVID SIMMONS PA
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Gender | Male
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Dates
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Enumeration Date | 01/24/2019
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 1149 SEMINOLE TRL
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22901-2897
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Country | US
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Telephone | 434-978-3998
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Fax |
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Provider Business Mailing Address
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Address Line | 1518 OLD BROOK RD
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22901-1201
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Country | US
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Telephone | 901-484-4529
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 0110008988
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License Number State | VA
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