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General NPI Number Information
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NPI Number | 1326050915
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Entity Type | Individual
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Provider Name | GARY EDWARD TAYLOR DDS
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Gender | Male
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 02/20/2024
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Provider Practice Location Address
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Address Line | 416 E COLONIAL AVE
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City | ELIZABETH CITY
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State | NC
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Zip | 27909
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Country | US
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Telephone | 252-338-0143
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Fax | 252-338-8194
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Provider Business Mailing Address
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Address Line | 5223 REGATTA POINTE ROAD
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City | SUFFOLK
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State | VA
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Zip | 23435-3521
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Country | US
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Telephone | 757-477-0536
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Fax | 757-399-6779
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 4408
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 5116
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License Number State | VA
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