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General NPI Number Information
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NPI Number | 1316976889
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Entity Type | Individual
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Provider Name | JONATHAN MARK TAYLOR D.C.
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Gender | Male
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Dates
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Enumeration Date | 06/30/2006
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Last Update Date | 10/22/2010
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Provider Practice Location Address
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Address Line | 11 PINE STREET
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City | MORRISTOWN
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State | NJ
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Zip | 07960-4131
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Country | US
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Telephone | 973-539-3444
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Fax | 973-993-5515
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Provider Business Mailing Address
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Address Line | 11 PINE ST
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City | MORRISTOWN
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State | NJ
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Zip | 07960-4131
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Country | US
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Telephone | 973-539-3444
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Fax | 973-993-5515
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | MC04015
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | X006630
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License Number State | NY
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