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General NPI Number Information
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NPI Number | 1790885929
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Entity Type | Individual
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Provider Name | DEBRA TAYLOR P.A.
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Gender | Female
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1101 S 70TH ST SUITE 203
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City | LINCOLN
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State | NE
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Zip | 68510-4278
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Country | US
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Telephone | 402-486-4035
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Fax | 402-486-3528
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Provider Business Mailing Address
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Address Line | 1101 S 70TH ST SUITE 203
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City | LINCOLN
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State | NE
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Zip | 68510-4278
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Country | US
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Telephone | 402-486-4035
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Fax | 402-486-3528
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 161
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License Number State | NE
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