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General NPI Number Information
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NPI Number | 1205057262
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Entity Type | Individual
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Provider Name | RENEE DAWN TAYLOR D.C.
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Gender | Female
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 325 N. HALL STREET
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City | VALENTINE
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State | NE
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Zip | 69201-1857
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Country | US
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Telephone | 402-376-1836
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Fax | 402-376-1836
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Provider Business Mailing Address
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Address Line | HC 37 BOX 77
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City | VALENTINE
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State | NE
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Zip | 69201-9528
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Country | US
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Telephone | 402-376-4879
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Fax | 402-376-1836
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1320
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License Number State | NE
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