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General NPI Number Information
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NPI Number | 1558055095
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Entity Type | Organization
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Legal Business Name | TAYLOR S EIFORD DDS LLC
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Dates
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Enumeration Date | 06/07/2023
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Last Update Date | 06/07/2023
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Provider Practice Location Address
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Address Line | 4102 ROOSEVELT BLVD STE A
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City | MIDDLETOWN
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State | OH
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Zip | 45044-3700
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Country | US
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Telephone | 614-973-0279
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Fax |
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Provider Business Mailing Address
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Address Line | 329 E 1ST ST APT 219
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City | DAYTON
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State | OH
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Zip | 45402-1554
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. TAYLOR SCOTT EIFORD
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Credential | DDS
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Telephone | 614-973-0279
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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