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General NPI Number Information
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NPI Number | 1295899250
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Entity Type | Individual
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Provider Name | MICHAEL L TAYLOR M.D,
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Gender | Male
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 05/15/2009
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Provider Practice Location Address
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Address Line | 9330 MEDICAL PLAZA DR EMERGENCY DEPARTMENT
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City | CHARLESTON
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State | SC
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Zip | 29406-9104
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Country | US
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Telephone | 843-797-8860
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Fax |
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Provider Business Mailing Address
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Address Line | 73 PITT ST
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City | CHARLESTON
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State | SC
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Zip | 29403-6181
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Country | US
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Telephone | 843-577-5625
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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 | 23032
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 2000-01307
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License Number State | NC
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