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General NPI Number Information
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NPI Number | 1770596900
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Entity Type | Individual
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Provider Name | TAYLOR WELLS SANDERS MD
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Gender | Male
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Dates
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Enumeration Date | 08/15/2006
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 16158 AIRLINE HWY STE 103
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City | PRAIRIEVILLE
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State | LA
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Zip | 70769-4222
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Country | US
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Telephone | 225-963-9355
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 19305
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City | CHARLOTTE
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State | NC
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Zip | 28219-9305
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Country | US
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Telephone |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 2021-00628
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD.200942
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 207PT0002X
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Taxonomy Name | Medical Toxicology (Emergency Medicine) Physician
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License Number | 2021-00628
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 207PT0002X
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Taxonomy Name | Medical Toxicology (Emergency Medicine) Physician
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License Number | MD.200942
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License Number State | LA
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