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General NPI Number Information
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NPI Number | 1487114658
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Entity Type | Individual
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Provider Name | TAYLOR RAY OAKLEY MD
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Gender | Male
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Dates
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Enumeration Date | 03/22/2019
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 245 FLOYD DR
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City | ATHENS
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State | GA
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Zip | 30607-1469
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Country | US
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Telephone | 762-356-4780
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Fax |
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Provider Business Mailing Address
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Address Line | 235 WARM SPRING RD SUITE 400
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City | COLUBUS
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State | GA
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Zip | 31904-6874
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Country | US
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Telephone | 706-653-1102
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 97244
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License Number State | TN
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