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General NPI Number Information
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NPI Number | 1629995683
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Entity Type | Individual
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Provider Name | MS. AURVEY ELLENDOR TAYLOR
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Gender | Female
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Dates
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Enumeration Date | 07/01/2026
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Last Update Date | 07/01/2026
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Provider Practice Location Address
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Address Line | 1401 PENNSYLVANIA AVE
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City | FT WORTH
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State | TX
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Zip | 76104-2113
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Country | US
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Telephone | 214-850-2615
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Fax |
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Provider Business Mailing Address
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Address Line | 1314 SHEARWATER LN 1314 SHEARWATER LN
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City | GARLAND
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State | TX
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Zip | 75043-2695
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Country | US
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Telephone | 972-658-9109
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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 | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number | 499
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License Number State | TX
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