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General NPI Number Information
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NPI Number | 1073509246
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Entity Type | Individual
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Provider Name | LYNN E TAYLOR MD
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Gender | Male
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Dates
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Enumeration Date | 09/23/2005
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 13512 TURTLE MARSH LOOP
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City | ORLANDO
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State | FL
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Zip | 32837-6626
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Country | US
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Telephone | 407-256-7525
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Fax |
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Provider Business Mailing Address
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Address Line | 13512 TURTLE MARSH LOOP
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City | ORLANDO
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State | FL
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Zip | 32837-6626
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME0040410
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License Number State | FL
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