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General NPI Number Information
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NPI Number | 1376586545
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Entity Type | Individual
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Provider Name | THANH TAYLOR D.O.
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Gender | Female
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 05/18/2015
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Provider Practice Location Address
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Address Line | 5423 E 5TH ST STE D
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City | KATY
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State | TX
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Zip | 77493-2522
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Country | US
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Telephone | 888-704-9203
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Fax | 888-369-0336
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Provider Business Mailing Address
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Address Line | 21022 BARKER CANYON LN
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City | KATY
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State | TX
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Zip | 77450-6900
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Country | US
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Telephone | 888-704-9203
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Fax | 888-369-0336
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | K9907
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License Number State | TX
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