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General NPI Number Information
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NPI Number | 1225156573
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Entity Type | Individual
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Provider Name | LAURIE L KILBURY TAYLOR D.O.
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Gender | Female
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 03/05/2010
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Provider Practice Location Address
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Address Line | 127 NORTH ST
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City | BATAVIA
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State | NY
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Zip | 14020-1631
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Country | US
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Telephone | 585-344-5490
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Fax |
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Provider Business Mailing Address
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Address Line | 69 CLINTON ST
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City | BATAVIA
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State | NY
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Zip | 14020
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Country | US
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Telephone | 585-219-4070
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 232527
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 232527
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License Number State | NY
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