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General NPI Number Information
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NPI Number | 1619044963
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Entity Type | Organization
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Legal Business Name | DR. DONALD K TAYLOR
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 10/16/2007
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Provider Practice Location Address
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Address Line | 868 MERCER ST
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City | PRINCETON
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State | WV
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Zip | 24740-2908
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Country | US
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Telephone | 304-425-3679
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Fax | 304-425-7265
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Provider Business Mailing Address
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Address Line | 410 FINCASTLE LN
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City | BLUEFIELD
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State | VA
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Zip | 24605-9243
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Country | US
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Telephone | 304-425-3679
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Fax | 304-425-7265
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Authorized Official
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Title or Position | OFFFICE MANAGER
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Name | MRS. JEAN ALIFF
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Credential |
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Telephone | 304-325-8685
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 689-OD
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License Number State | WV
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