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General NPI Number Information
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NPI Number | 1700891330
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Entity Type | Organization
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Legal Business Name | TAYLOR HEALTH CENTER
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 03/10/2017
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Provider Practice Location Address
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Address Line | 715 S FLORENCE
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City | SPRINGFIELD
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State | MO
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Zip | 65897-0001
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Country | US
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Telephone | 417-836-4050
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Fax | 417-836-4086
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Provider Business Mailing Address
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Address Line | 901 S NATIONAL AVE
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City | SPRINGFIELD
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State | MO
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Zip | 65897-0027
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Country | US
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Telephone | 417-836-4050
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Fax | 417-836-4086
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | RANDY BASS
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Credential | RPH
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Telephone | 417-836-4050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 003141
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License Number State | MO
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