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General NPI Number Information
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NPI Number | 1033648779
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Entity Type | Individual
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Provider Name | JEFFREY TAYLOR DO
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Gender | Male
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Dates
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Enumeration Date | 06/07/2017
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Last Update Date | 09/13/2024
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Provider Practice Location Address
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Address Line | 1156 NASHVILLE PIKE
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City | GALLATIN
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State | TN
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Zip | 37066-3110
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Country | US
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Telephone | 910-736-0159
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Fax |
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Provider Business Mailing Address
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Address Line | 300 W 27TH ST
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City | LUMBERTON
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State | NC
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Zip | 28358-3075
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Country | US
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Telephone | 910-739-7551
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Fax | 910-739-2332
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 5674
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 5674
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License Number State | TN
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