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General NPI Number Information
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NPI Number | 1790481208
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Entity Type | Individual
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Provider Name | TAYLOR PHILLIPS DC
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Gender | Female
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Dates
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Enumeration Date | 02/06/2023
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Last Update Date | 02/06/2023
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Provider Practice Location Address
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Address Line | 7324 GASTON AVE STE 118
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City | DALLAS
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State | TX
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Zip | 75214-6126
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Country | US
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Telephone | 214-812-9906
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Fax | 214-484-6612
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Provider Business Mailing Address
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Address Line | 2619 HARTMAN ST APT 2327
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City | DALLAS
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State | TX
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Zip | 75204-2667
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Country | US
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Telephone | 724-994-6418
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 15514
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License Number State | TX
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