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General NPI Number Information
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NPI Number | 1689774382
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Entity Type | Individual
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Provider Name | NADIA DEBORAH TAYLOR M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 06/18/2024
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Provider Practice Location Address
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Address Line | 1685 S STATE ROAD 7 STE 4
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City | HOLLYWOOD
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State | FL
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Zip | 33023-6721
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Country | US
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Telephone | 954-758-4429
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Fax |
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Provider Business Mailing Address
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Address Line | 1685 S STATE ROAD 7 STE 4
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City | HOLLYWOOD
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State | FL
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Zip | 33023-6721
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Country | US
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Telephone | 954-758-4429
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 056229
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME151097
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number | ME151097
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 2080B0002X
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Taxonomy Name | Pediatric Obesity Medicine Physician
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License Number | ME151097
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 2080P0207X
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Taxonomy Name | Pediatric Hematology & Oncology Physician
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License Number | ME151097
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 056229
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License Number State | GA
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Taxonomy #7
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Taxonomy Code | 2080P0207X
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Taxonomy Name | Pediatric Hematology & Oncology Physician
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License Number | 056229
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License Number State | GA
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