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General NPI Number Information
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NPI Number | 1811172042
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Entity Type | Organization
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Legal Business Name | OUR FAMILY DOCTOR, P. A.
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Dates
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Enumeration Date | 01/07/2008
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Last Update Date | 03/25/2024
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Provider Practice Location Address
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Address Line | 1919 S SHILOH RD STE 333
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City | GARLAND
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State | TX
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Zip | 75042-8235
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Country | US
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Telephone | 972-864-2050
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Fax | 972-271-3437
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Provider Business Mailing Address
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Address Line | 1919 S SHILOH RD STE 333
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City | GARLAND
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State | TX
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Zip | 75042-8235
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Country | US
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Telephone | 972-864-2050
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Fax | 972-271-3437
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | JEFFREY B TAYLOR
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Credential | DO
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Telephone | 972-864-2050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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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 | K6508
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License Number State | TX
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