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General NPI Number Information
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NPI Number | 1609858992
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Entity Type | Individual
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Provider Name | LAURA B TAYLOR RPH, PHARMD
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Gender | Female
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Dates
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Enumeration Date | 11/14/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 434 S ELLIS ST
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City | WICHITA
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State | KS
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Zip | 67211-1812
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Country | US
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Telephone | 316-265-3300
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Fax | 316-265-3304
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Provider Business Mailing Address
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Address Line | 15808 MCCORMICK
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City | GODDARD
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State | KS
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Zip | 67052-9524
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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 |
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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 | 1-13510
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License Number State | KS
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