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General NPI Number Information
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NPI Number | 1730362732
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Entity Type | Individual
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Provider Name | ELDRED BERNARD TAYLOR MD
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Gender | Male
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Dates
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Enumeration Date | 12/12/2007
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Last Update Date | 02/13/2009
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Provider Practice Location Address
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Address Line | 5901 PEACHTREE DUNWOODY RD NE # C SUITE 25
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City | ATLANTA
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State | GA
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Zip | 30328-5382
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Country | US
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Telephone | 678-443-4000
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Fax | 678-205-4099
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Provider Business Mailing Address
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Address Line | 5901-C PEACHTREE-DUNWOODY ROAD SUITE 25
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City | ATLANTA
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State | GA
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Zip | 30328
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Country | US
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Telephone | 678-443-4000
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Fax | 678-205-4099
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 30227
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License Number State | GA
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