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General NPI Number Information
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NPI Number | 1144539800
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Entity Type | Individual
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Provider Name | HAROLD JONES TAYLOR JR. CSA
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Gender | Male
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Dates
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Enumeration Date | 09/29/2010
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Last Update Date | 10/12/2012
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Provider Practice Location Address
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Address Line | 2005 NORTH RD
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City | SNELLVILLE
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State | GA
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Zip | 30078-2562
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Country | US
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Telephone | 678-468-9851
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Fax |
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Provider Business Mailing Address
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Address Line | 2005 NORTH RD
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City | SNELLVILLE
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State | GA
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Zip | 30078-2516
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Country | US
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Telephone | 678-468-9851
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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 | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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