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General NPI Number Information
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NPI Number | 1801270392
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Entity Type | Individual
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Provider Name | CHRISTOPHER C TAYLOR M..D.
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Gender | Male
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Dates
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Enumeration Date | 07/14/2015
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Last Update Date | 06/27/2023
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Provider Practice Location Address
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Address Line | 3200 E RACINE ST
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City | JANESVILLE
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State | WI
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Zip | 53546-2343
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Country | US
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Telephone | 608-371-8000
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Fax | 608-371-8938
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Provider Business Mailing Address
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Address Line | 3200 E RACINE ST
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City | JANESVILLE
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State | WI
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Zip | 53546-2343
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Country | US
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Telephone | 608-371-8000
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Fax | 608-371-8938
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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 | 171000000X
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Taxonomy Name | Military Health Care Provider
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 01077779A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 82361-20
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License Number State | WI
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