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General NPI Number Information
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NPI Number | 1336118462
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Entity Type | Individual
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Provider Name | DUANE JON TAYLOR M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/14/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6410 ROCKLEDGE DR 650
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City | BETHESDA
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State | MD
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Zip | 20817-1809
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Country | US
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Telephone | 301-580-1080
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Fax |
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Provider Business Mailing Address
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Address Line | 43 RANDOLPH RD #162
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City | SILVER SPRING
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State | MD
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Zip | 20904-1209
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Country | US
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Telephone |
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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 | 207YX0905X
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Taxonomy Name | Otolaryngology/Facial Plastic Surgery Physician
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License Number | D00040031
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License Number State | MD
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