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NPI 1548122864

NPI 1548122864 : BARON AND TAYLOR PEDIATRICS PC : COSTA MESA, CA

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General NPI Number Information
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    NPI Number           |    1548122864
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    Entity Type          |    Organization 
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    Legal Business Name  |    BARON AND TAYLOR PEDIATRICS PC 
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Dates
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    Enumeration Date     |    11/25/2025
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    Last Update Date     |    11/25/2025
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Provider Practice Location Address
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    Address Line         |    1190 BAKER ST STE 103 
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    City                 |    COSTA MESA
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    State                |    CA
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    Zip                  |    92626-4105
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    Country              |    US
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    Telephone            |    714-668-2525
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    Fax                  |    714-668-2530
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Provider Business Mailing Address
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    Address Line         |    1190 BAKER ST STE 103 
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    City                 |    COSTA MESA
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    State                |    CA
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    Zip                  |    92626-4105
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    Country              |    US
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    Telephone            |    714-668-2525
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    Fax                  |    714-668-2530
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Authorized Official
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    Title or Position    |    PARTNER
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    Name                 |     JEFFREY R TAYLOR 
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    Credential           |    MD
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    Telephone            |    714-904-8358
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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       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    2080A0000X
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    Taxonomy Name        |    Pediatric Adolescent Medicine Physician
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    License Number       |    
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    License Number State |    
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