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General NPI Number Information
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NPI Number | 1639455280
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Entity Type | Organization
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Legal Business Name | SUMMERS W. TAYLOR, III, MD, PC
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Dates
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Enumeration Date | 10/27/2011
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Last Update Date | 04/16/2019
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Provider Practice Location Address
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Address Line | 2505 US HIGHWAY 431 WOMEN'S CENTER, SUITE A
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City | BOAZ
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State | AL
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Zip | 35957-5908
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Country | US
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Telephone | 256-840-4430
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Fax | 256-840-4537
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Provider Business Mailing Address
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Address Line | 2505 US HIGHWAY 431 WOMEN'S CENTER, SUITE A
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City | BOAZ
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State | AL
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Zip | 35957-5908
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Country | US
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Telephone | 256-840-4430
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Fax | 256-840-4537
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Authorized Official
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Title or Position | MD
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Name | DR. SUMMERS WILSON TAYLOR III
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Credential | M.D.
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Telephone | 256-840-4530
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | 13084
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License Number State | AL
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