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General NPI Number Information
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NPI Number | 1114658499
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Entity Type | Individual
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Provider Name | TAYLOR MA DDS
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Gender | Female
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Dates
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Enumeration Date | 06/18/2022
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Last Update Date | 06/18/2022
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Provider Practice Location Address
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Address Line | 9325 KEMPWOOD DR STE A
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City | HOUSTON
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State | TX
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Zip | 77080-2813
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Country | US
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Telephone | 713-460-9797
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Fax |
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Provider Business Mailing Address
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Address Line | 3508 MEADWAY DR
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City | HOUSTON
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State | TX
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Zip | 77082-5341
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Country | US
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Telephone | 832-472-6832
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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 | 38453
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License Number State | TX
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