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General NPI Number Information
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NPI Number | 1588097166
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Entity Type | Individual
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Provider Name | GEORGE WILLIAM TAYLOR IV PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 08/18/2013
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 570 PAMLICO PLZ
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City | WASHINGTON
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State | NC
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Zip | 27889-3337
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Country | US
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Telephone | 252-975-2006
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Fax | 252-946-2234
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Provider Business Mailing Address
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Address Line | 570 PAMLICO PLZ
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City | WASHINGTON
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State | NC
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Zip | 27889-3337
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Country | US
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Telephone | 252-975-2006
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 23358
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License Number State | NC
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