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General NPI Number Information
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NPI Number | 1245644335
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Entity Type | Individual
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Provider Name | KATHRYN MICHELLE TAYLOR ARRT
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Gender | Female
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Dates
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Enumeration Date | 06/17/2014
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Last Update Date | 06/17/2014
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Provider Practice Location Address
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Address Line | 6491 SOUTHWEST BLVD
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City | BENBROOK
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State | TX
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Zip | 76132-2777
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Country | US
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Telephone | 817-887-9750
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Fax | 817-887-9753
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Provider Business Mailing Address
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Address Line | 1216 CATHERINE LN
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City | BURLESON
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State | TX
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Zip | 76028-0307
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Country | US
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Telephone | 817-404-7653
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Fax | 817-447-1276
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 340019
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2471M1202X
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Taxonomy Name | Magnetic Resonance Imaging Radiologic Technologist
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License Number | 340019
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License Number State | TX
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