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General NPI Number Information
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NPI Number | 1124433552
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Entity Type | Organization
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Legal Business Name | RICHARD TAYLOR
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Dates
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Enumeration Date | 06/24/2014
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Last Update Date | 01/08/2015
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Provider Practice Location Address
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Address Line | 1400 NE MIAMI GARDENS DR 202
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33179-4845
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Country | US
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Telephone | 305-944-8565
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Fax | 305-944-8388
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Provider Business Mailing Address
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Address Line | 1400 NE MIAMI GARDENS DR 202
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33179-4845
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Country | US
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Telephone | 305-944-8565
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Fax | 305-944-8388
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Authorized Official
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Title or Position | OWNER
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Name | RICHARD TAYLOR
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Credential |
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Telephone | 305-944-8565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | ME0034801
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License Number State | FL
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