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General NPI Number Information
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NPI Number | 1649063082
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Entity Type | Individual
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Provider Name | TAYLOR PARADOSKI PA-C
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Gender | Female
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Dates
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Enumeration Date | 05/28/2025
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 2600 LAUREL RD E
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City | NORTH VENICE
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State | FL
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Zip | 34275-3226
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Country | US
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Telephone | 941-261-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 6285 MIDNIGHT PASS RD APT 308
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City | SARASOTA
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State | FL
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Zip | 34242-2366
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Country | US
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Telephone | 248-342-8250
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA9120432
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License Number State | FL
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