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General NPI Number Information
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NPI Number | 1316117880
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Entity Type | Organization
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Legal Business Name | GREGORY P TAYLER MD PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 03/11/2008
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Last Update Date | 06/09/2014
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Provider Practice Location Address
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Address Line | 1469 S HIGHWAY 40 # C
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City | HEBER CITY
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State | UT
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Zip | 84032-3522
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Country | US
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Telephone | 435-654-3535
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Fax | 435-654-2853
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Provider Business Mailing Address
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Address Line | 1469 S HIGHWAY 40 # C
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City | HEBER CITY
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State | UT
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Zip | 84032-3522
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Country | US
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Telephone | 435-654-3535
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Fax | 435-654-2853
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Authorized Official
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Title or Position | M.D., P.C.
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Name | DR. GREGORY P TAYLER
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Credential | M.D.
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Telephone | 435-654-3535
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 963243991205
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License Number State | UT
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