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General NPI Number Information
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NPI Number | 1154785152
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Entity Type | Individual
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Provider Name | NICHOLAS ALEXANDER TAYLOR M.D., PH.D.
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Gender | Male
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Dates
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Enumeration Date | 04/06/2016
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 2238 NELSON HWY STE 100
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City | CHAPEL HILL
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State | NC
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Zip | 27517-8914
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Country | US
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Telephone | 919-401-1994
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Fax | 919-401-1924
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Provider Business Mailing Address
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Address Line | 2238 NELSON HWY STE 100
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City | CHAPEL HILL
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State | NC
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Zip | 27517-8914
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Country | US
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Telephone | 919-401-1994
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Fax | 919-401-1924
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 2021-01225
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 218051
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number | 2021-01225
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License Number State | NC
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