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General NPI Number Information
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NPI Number | 1780295576
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Entity Type | Individual
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Provider Name | JALISA TAYLOR
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Gender | Female
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Dates
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Enumeration Date | 08/13/2020
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Last Update Date | 10/01/2024
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Provider Practice Location Address
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Address Line | 7447 HARWIN DR STE 290
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City | HOUSTON
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State | TX
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Zip | 77036-2080
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Country | US
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Telephone | 832-831-5329
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Fax |
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Provider Business Mailing Address
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Address Line | 2539 S GESSNER RD STE 24
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City | HOUSTON
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State | TX
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Zip | 77063-2028
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Country | US
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Telephone | 832-389-5019
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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 | 374J00000X
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Taxonomy Name | Doula
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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 | 176B00000X
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Taxonomy Name | Midwife
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License Number |
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License Number State |
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