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General NPI Number Information
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NPI Number | 1174597587
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Entity Type | Individual
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Provider Name | ELLEN LEVIN TAYLOR M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/14/2006
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Last Update Date | 11/23/2010
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Provider Practice Location Address
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Address Line | 2835 SMITH AVE
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City | BALTIMORE
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State | MD
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Zip | 21209-1453
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Country | US
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Telephone | 410-484-3400
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Fax | 410-653-5332
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Provider Business Mailing Address
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Address Line | 2835 SMITH AVE
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City | BALTIMORE
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State | MD
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Zip | 21209-1453
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Country | US
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Telephone | 410-484-3400
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Fax | 410-653-5332
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | D22666
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License Number State | MD
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