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General NPI Number Information
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NPI Number | 1497031744
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Entity Type | Individual
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Provider Name | ALICIA L TAYLOR PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 11/01/2011
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Last Update Date | 09/03/2020
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Provider Practice Location Address
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Address Line | 4470 CHAMBLEE DUNWOODY RD
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City | DUNWOODY
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State | GA
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Zip | 30338-6280
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Country | US
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Telephone | 470-282-3126
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Fax |
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Provider Business Mailing Address
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Address Line | 180 JACKSON ST NE APT 5210
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City | ATLANTA
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State | GA
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Zip | 30312-7935
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH021353
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License Number State | GA
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