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General NPI Number Information
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NPI Number | 1316644297
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Entity Type | Individual
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Provider Name | DAVID PAUL TAYLOR HOME CARE GIVER
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Gender | Male
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Dates
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Enumeration Date | 02/13/2023
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Last Update Date | 11/08/2025
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Provider Practice Location Address
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Address Line | 10132 W LAUREL ST
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City | LAKE CITY
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State | MI
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Zip | 49651-8810
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Country | US
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Telephone | 616-227-1391
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Fax | 907-313-1400
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Provider Business Mailing Address
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Address Line | 414 5TH ST
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City | CADILLAC
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State | MI
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Zip | 49601-1329
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Country | US
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Telephone | 231-433-9086
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Fax | 907-313-1400
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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 | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 1316644297
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | 1316644297
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 1316644297
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License Number State | MI
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