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General NPI Number Information
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NPI Number | 1164815288
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Entity Type | Individual
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Provider Name | JULIANNE TAYLOR PA-C
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Gender | Female
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Dates
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Enumeration Date | 03/13/2015
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Last Update Date | 01/30/2021
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Provider Practice Location Address
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Address Line | 7700 S BROADWAY
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City | LITTLETON
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State | CO
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Zip | 80122-2602
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Country | US
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Telephone | 303-730-8900
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Fax | 303-738-7755
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Provider Business Mailing Address
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Address Line | 426 S PATTERSON PARK AVE
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City | BALTIMORE
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State | MD
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Zip | 21231-2749
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Country | US
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Telephone | 443-878-8932
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | C05689
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA.0004951
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License Number State | CO
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