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General NPI Number Information
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NPI Number | 1134318611
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Entity Type | Individual
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Provider Name | MERCELLA PATRICIA ANTOINE-TAYLOR M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/19/2007
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Last Update Date | 09/29/2009
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Provider Practice Location Address
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Address Line | 3701 KIRBY DR SUITE 600
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City | HOUSTON
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State | TX
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Zip | 77098-3900
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Country | US
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Telephone | 713-798-2091
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Fax |
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Provider Business Mailing Address
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Address Line | 6202 HUBBELL DR
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City | PEARLAND
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State | TX
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Zip | 77584-1583
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Country | US
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Telephone | 281-489-9168
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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 | TEMPORARY
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | M7829
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License Number State | TX
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