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General NPI Number Information
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NPI Number | 1497634984
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Entity Type | Individual
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Provider Name | TAYLOR MARIE HENDERSON PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/28/2025
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 6801 W ADAMS AVE
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City | TEMPLE
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State | TX
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Zip | 76502-0005
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Country | US
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Telephone | 254-598-7594
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Fax |
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Provider Business Mailing Address
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Address Line | 5303 FOXHILL RD
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City | TEMPLE
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State | TX
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Zip | 76502-4105
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Country | US
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Telephone | 940-368-4508
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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 | 76165
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License Number State | TX
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