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General NPI Number Information
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NPI Number | 1396772703
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Entity Type | Individual
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Provider Name | KIMBERLY A TAYLOR DO
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Gender | Female
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 03/18/2024
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Provider Practice Location Address
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Address Line | 8900 W UNIVERSITY ST UNIT 106
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City | WICHITA
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State | KS
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Zip | 67209-1569
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Country | US
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Telephone | 208-416-2932
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Fax | 855-673-9190
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Provider Business Mailing Address
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Address Line | 1041 NW 50 RD
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City | ATTICA
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State | KS
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Zip | 67009-8852
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Country | US
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Telephone | 208-416-2932
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Fax | 855-673-9190
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 0102205312
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 20A22258
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 30214
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License Number State | KS
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 30214
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License Number State | KS
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