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General NPI Number Information
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NPI Number | 1780828079
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Entity Type | Individual
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Provider Name | CYNTHIA J TAYLOR D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/30/2009
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Last Update Date | 02/04/2013
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Provider Practice Location Address
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Address Line | 93 WEDGEWOOD DR
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City | WATERBURY
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State | CT
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Zip | 06705-3611
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Country | US
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Telephone | 203-753-2274
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Fax | 203-597-8656
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Provider Business Mailing Address
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Address Line | 93 WEDGEWOOD DRIVE P.O. BOX 3066
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City | WATERBURY
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State | CT
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Zip | 06705
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Country | US
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Telephone | 203-753-2274
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Fax | 203-597-8656
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 007324
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License Number State | CT
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