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General NPI Number Information
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NPI Number | 1790105146
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Entity Type | Organization
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Legal Business Name | BEATRICE K. TAYLOR
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Dates
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Enumeration Date | 04/24/2014
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Last Update Date | 04/24/2014
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Provider Practice Location Address
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Address Line | 4445 ANGOLA RD
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City | TOLEDO
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State | OH
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Zip | 43615-6403
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Country | US
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Telephone | 567-377-2580
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Fax |
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Provider Business Mailing Address
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Address Line | 4445 ANGOLA RD
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City | TOLEDO
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State | OH
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Zip | 43615-6403
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Country | US
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Telephone | 567-377-2580
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Fax |
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Authorized Official
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Title or Position | RN
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Name | MRS. BEATRICE KAY TAYLOR
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Credential | RN
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Telephone | 567-377-2580
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 4704219291
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | RN225029
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License Number State | OH
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