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General NPI Number Information
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NPI Number | 1306082565
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Entity Type | Organization
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Legal Business Name | SIDNEY D. TAYLOR, D.C., P.C.
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Dates
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Enumeration Date | 12/18/2008
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Last Update Date | 01/26/2009
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Provider Practice Location Address
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Address Line | 3617 N. MERIDIAN AVE SUITE 101
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City | OKLAHOMA CITY
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State | OK
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Zip | 73112-2823
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Country | US
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Telephone | 405-946-9946
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Fax | 405-946-0757
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Provider Business Mailing Address
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Address Line | 3617 N. MERIDIAN AVE SUITE 101
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City | OKLAHOMA CITY
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State | OK
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Zip | 73112-2823
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Country | US
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Telephone | 405-946-9946
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Fax | 405-946-0757
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SIDNEY D TAYLOR
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Credential | DC
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Telephone | 405-946-9946
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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 | 3287
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License Number State | OK
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