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General NPI Number Information
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NPI Number | 1124019914
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Entity Type | Individual
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Provider Name | NEAL ROBERT TAYLOR MD
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Gender | Male
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Dates
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Enumeration Date | 11/02/2005
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 7321 BALMER ST
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City | HILL AFB
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State | UT
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Zip | 84056-5012
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Country | US
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Telephone | 801-777-1163
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Fax |
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Provider Business Mailing Address
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Address Line | 1644 N 150 E
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City | LAYTON
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State | UT
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Zip | 84041-2412
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Country | US
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Telephone | 409-996-1751
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD052678L
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License Number State | PA
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