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General NPI Number Information
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NPI Number | 1356441737
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Entity Type | Individual
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Provider Name | BERNARD G TAYLOR MD
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Gender | Male
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 1968 PEACHTREE RD NW
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City | ATLANTA
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State | GA
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Zip | 30309-1281
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Country | US
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Telephone | 404-367-3014
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Fax |
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Provider Business Mailing Address
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Address Line | 11 UPPER RIVERDALE RD, SW
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City | RIVERDALE
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State | GA
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Zip | 30274
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Country | US
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Telephone | 770-897-7107
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Fax | 770-897-7109
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | M4582
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 061007
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 061007
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License Number State | GA
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