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General NPI Number Information
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NPI Number | 1447989025
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Entity Type | Individual
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Provider Name | TAYLOR JORDAN SCHWEITZER M.S.
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Gender | Female
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Dates
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Enumeration Date | 06/08/2022
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Last Update Date | 06/08/2022
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Provider Practice Location Address
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Address Line | 3533 DUNN RD STE 232
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City | FLORISSANT
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State | MO
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Zip | 63033-6761
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Country | US
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Telephone | 314-839-0002
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Fax |
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Provider Business Mailing Address
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Address Line | 30 WHISPERING OAKS DR
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City | WASHINGTON
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State | MO
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Zip | 63090-5338
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Country | US
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Telephone | 636-259-6057
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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 | 202C00000X
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Taxonomy Name | Independent Medical Examiner Physician
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License Number | 2022020185
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License Number State | MO
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