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General NPI Number Information
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NPI Number | 1164921243
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Entity Type | Individual
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Provider Name | TAYLER LAUREN PILMORE PA-C
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Gender | Female
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Dates
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Enumeration Date | 02/05/2018
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | 5308 HARROUN RD # 285
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City | SYLVANIA
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State | OH
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Zip | 43560-2193
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Country | US
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Telephone | 419-824-1785
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Fax | 419-824-5953
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Provider Business Mailing Address
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Address Line | 2447 WATERFORD VILLAGE DR
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City | SYLVANIA
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State | OH
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Zip | 43560-8965
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Country | US
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Telephone | 330-931-1853
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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 | 50.005447RX
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License Number State | OH
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