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General NPI Number Information
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NPI Number | 1184697542
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Entity Type | Individual
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Provider Name | DAVID A TAYLOR M.A.
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Gender | Male
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Dates
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Enumeration Date | 02/08/2006
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Last Update Date | 12/05/2019
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Provider Practice Location Address
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Address Line | 13784 WARWICK BLVD STE B
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City | NEWPORT NEWS
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State | VA
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Zip | 23602-5481
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Country | US
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Telephone | 757-877-4000
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Fax | 757-877-1373
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Provider Business Mailing Address
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Address Line | 13784 WARWICK BLVD STE B
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City | NEWPORT NEWS
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State | VA
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Zip | 23602-5481
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Country | US
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Telephone | 757-877-4000
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Fax | 757-877-1373
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 2201001175
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License Number State | VA
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