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General NPI Number Information
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NPI Number | 1417499815
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Entity Type | Individual
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Provider Name | TAYLOR LAROSA P.A
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Gender | Female
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Dates
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Enumeration Date | 11/16/2016
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Last Update Date | 03/11/2019
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Provider Practice Location Address
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Address Line | 525 E 68TH ST # J130
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City | NEW YORK
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State | NY
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Zip | 10065-4870
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Country | US
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Telephone | 212-746-3000
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Fax | 212-746-8402
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Provider Business Mailing Address
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Address Line | PO BOX 431
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City | SOUTHOLD
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State | NY
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Zip | 11971-0431
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Country | US
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Telephone | 631-664-9543
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Fax |
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 020407
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 020407
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License Number State | NY
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