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General NPI Number Information
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NPI Number | 1114365137
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Entity Type | Organization
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Legal Business Name | TAYLOS DENTAL, LLC
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Dates
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Enumeration Date | 06/12/2013
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Last Update Date | 06/12/2013
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Provider Practice Location Address
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Address Line | 3220 WADE HAMPTON BLVD
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City | TAYLORS
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State | SC
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Zip | 29687-2860
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Country | US
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Telephone | 864-268-5690
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Fax |
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Provider Business Mailing Address
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Address Line | 3220 WADE HAMPTON BLVD
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City | TAYLORS
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State | SC
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Zip | 29687-2860
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Country | US
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Telephone | 864-268-5690
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOHN DUNBAR
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Credential |
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Telephone | 864-268-5690
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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