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General NPI Number Information
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NPI Number | 1477741627
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Entity Type | Organization
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Legal Business Name | DAVID R TAYLOR MD INC
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Dates
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Enumeration Date | 10/11/2007
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Last Update Date | 10/11/2007
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Provider Practice Location Address
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Address Line | 5640 N FRESNO ST SUITE 110
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City | FRESNO
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State | CA
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Zip | 93710-6098
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Country | US
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Telephone | 559-266-9906
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Fax | 559-266-0906
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Provider Business Mailing Address
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Address Line | 5640 N FRESNO ST SUITE 110
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City | FRESNO
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State | CA
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Zip | 93710-6098
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Country | US
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Telephone | 559-266-9906
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Fax | 559-266-0906
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID RAY TAYLOR JR.
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Credential | MD
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Telephone | 559-266-9906
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | A313100
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License Number State | CA
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