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General NPI Number Information
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NPI Number | 1467951806
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Entity Type | Individual
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Provider Name | TAYLOR HARLAN DDS
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Gender | Female
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Dates
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Enumeration Date | 02/11/2018
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Last Update Date | 01/12/2024
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Provider Practice Location Address
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Address Line | 407 NC-16 BUS HWY
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City | DENVER
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State | NC
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Zip | 28037-2664
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Country | US
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Telephone | 704-966-1919
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Fax |
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Provider Business Mailing Address
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Address Line | 904 LEXINGTON AVE
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City | CHARLOTTE
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State | NC
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Zip | 28203-4829
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Country | US
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Telephone | 239-877-6912
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 30.025693
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 30.025693
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 11913
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License Number State | NC
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