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General NPI Number Information
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NPI Number | 1326316621
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Entity Type | Individual
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Provider Name | JAMES B TAYLOR D.PH.
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Gender | Male
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Dates
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Enumeration Date | 12/01/2011
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Last Update Date | 12/01/2011
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Provider Practice Location Address
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Address Line | 400 E TICKLE ST
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City | DYERSBURG
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State | TN
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Zip | 38024-3120
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Country | US
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Telephone | 731-287-2432
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Fax |
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Provider Business Mailing Address
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Address Line | 1031 DIANNE DR
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City | DYERSBURG
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State | TN
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Zip | 38024-2839
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Country | US
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Telephone | 731-285-9139
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Fax |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 3284
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License Number State | TN
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