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General NPI Number Information
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NPI Number | 1689382822
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Entity Type | Organization
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Legal Business Name | TAYLOR PHARMACIES
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Dates
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Enumeration Date | 11/07/2022
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Last Update Date | 08/04/2023
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Provider Practice Location Address
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Address Line | 1406 N KENTUCKY AVE STE 200
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City | WEST PLAINS
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State | MO
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Zip | 65775-1839
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Country | US
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Telephone | 417-408-8955
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Fax | 417-408-8956
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Provider Business Mailing Address
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Address Line | 1406 N KENTUCKY AVE STE B
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City | WEST PLAINS
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State | MO
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Zip | 65775-1822
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Country | US
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Telephone | 928-380-3999
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DANIEL TAYLOR
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Credential |
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Telephone | 417-408-8955
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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