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General NPI Number Information
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NPI Number | 1538471883
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Entity Type | Individual
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Provider Name | JAIME LYN-ESSIAN TAYLOR D.O.
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Gender | Female
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Dates
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Enumeration Date | 07/01/2010
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 42505 WOODWARD AVE STE 100
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City | BLOOMFIELD HILLS
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State | MI
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Zip | 48304-5147
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Country | US
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Telephone | 248-771-2800
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Fax | 248-856-2939
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Provider Business Mailing Address
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Address Line | 42505 WOODWARD AVE STE 100
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City | BLOOMFIELD HILLS
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State | MI
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Zip | 48304-5147
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Country | US
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Telephone | 248-771-2800
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Fax | 248-856-2939
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 02004262A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 510018666
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207QA0000X
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Taxonomy Name | Adolescent Medicine (Family Medicine) Physician
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License Number | 5101018666
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License Number State | MI
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