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General NPI Number Information
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NPI Number | 1417018953
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Entity Type | Individual
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Provider Name | ERIN M. TAYLOR D.M.D
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Gender | Female
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 08/20/2010
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Provider Practice Location Address
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Address Line | 9510 BONITA BEACH RD SE SUITE 101
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City | BONITA SPRINGS
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State | FL
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Zip | 34135-4699
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Country | US
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Telephone | 239-333-2990
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Fax | 239-333-2988
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Provider Business Mailing Address
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Address Line | 9510 BONITA BEACH RD SE SUITE 101
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City | BONITA SPRINGS
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State | FL
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Zip | 34135-4699
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Country | US
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Telephone | 239-333-2990
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Fax | 239-333-2988
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DS035699
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 17031
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License Number State | FL
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