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General NPI Number Information
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NPI Number | 1407812142
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Entity Type | Individual
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Provider Name | JO L TAYLOR MD
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Gender | Female
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Dates
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Enumeration Date | 04/21/2006
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Last Update Date | 07/08/2022
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Provider Practice Location Address
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Address Line | SUTTER MEDICAL CENTER, SACRAMENTO 2825 CAPITOL AVENUE
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City | SACRAMENTO
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State | CA
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Zip | 95816-6039
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Country | US
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Telephone | 916-887-1130
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Fax | 916-887-0650
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Provider Business Mailing Address
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Address Line | 1724 DELAWARE AVENUE
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City | WEST SACRAMENTO
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State | CA
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Zip | 95691-4007
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Country | US
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Telephone | 916-683-6163
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Fax | 916-200-3834
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | G53791
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License Number State | CA
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