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General NPI Number Information
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NPI Number | 1154916039
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Entity Type | Individual
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Provider Name | TAYLOR ANDREW SHENEMAN PA-C
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Gender | Male
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Dates
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Enumeration Date | 03/03/2021
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 17580 I-45
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City | THE WOODLANDS
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State | TX
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Zip | 77384
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Country | US
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Telephone | 832-828-3660
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Fax | 832-825-9187
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Provider Business Mailing Address
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Address Line | 40031 PARKSIDE OAKS WAY
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City | MAGNOLIA
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State | TX
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Zip | 77354-7189
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Country | US
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Telephone | 956-497-3691
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA14413
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License Number State | TX
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