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General NPI Number Information
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NPI Number | 1518947423
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Entity Type | Individual
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Provider Name | LORNETTA TAYLOR EPPS M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/18/2006
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Last Update Date | 08/03/2021
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Provider Practice Location Address
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Address Line | 1717 N E ST SUITE 401
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City | PENSACOLA
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State | FL
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Zip | 32501-6339
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Country | US
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Telephone | 850-912-6550
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Fax | 850-912-6554
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Provider Business Mailing Address
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Address Line | 1717 N E ST SUITE 401
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City | PENSACOLA
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State | FL
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Zip | 32501-6339
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Country | US
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Telephone | 850-912-6550
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Fax | 850-912-6554
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 11575
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ME47561
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 4301042005
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 47561
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License Number State | FL
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