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General NPI Number Information
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NPI Number | 1508262452
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Entity Type | Individual
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Provider Name | NATHAN TAYLOR PH.D.
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Gender | Male
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Dates
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Enumeration Date | 11/05/2014
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Last Update Date | 11/05/2014
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Provider Practice Location Address
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Address Line | 559 KHURSANIYAH
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City | DHAHRAN
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State | EASTERN PROVINCE
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Zip | 31311
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Country | SA
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Telephone | 96650035054
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Fax |
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Provider Business Mailing Address
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Address Line | 559 KHURSANIYAH P.O. BOX 6616
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City | DHAHRAN
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State | EASTERN PROVINCE
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Zip | 31311
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Country | SA
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Telephone | 96650035054
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 1249
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License Number State | NC
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