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General NPI Number Information
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NPI Number | 1447258124
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Entity Type | Individual
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Provider Name | JOHN PEYTON TALIAFERRO MD
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Gender | Male
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 03/16/2016
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Provider Practice Location Address
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Address Line | 1327 EAGLE DR
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City | LOVELAND
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State | CO
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Zip | 80537-8059
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Country | US
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Telephone | 970-619-6450
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Fax | 970-619-6459
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Provider Business Mailing Address
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Address Line | 2695 ROCKY MOUNTAIN AVE STE 150
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City | LOVELAND
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State | CO
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Zip | 80538-8702
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Country | US
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Telephone | 970-619-6450
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Fax | 970-619-6459
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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 | 35570
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101242948
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License Number State | VA
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