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General NPI Number Information
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NPI Number | 1528144433
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Entity Type | Individual
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Provider Name | TASHA KATHERINE TAYLOR MD
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Gender | Female
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3177 OCEAN VIEW BLVD
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City | SAN DIEGO
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State | CA
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Zip | 92113-1498
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Country | US
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Telephone | 619-237-9300
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Fax | 619-631-7043
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Provider Business Mailing Address
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Address Line | 3678 CAMINITO CARMEL LANDING
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City | SAN DIEGO
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State | CA
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Zip | 92130
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Country | US
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Telephone | 858-259-1549
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A82187
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License Number State | CA
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