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General NPI Number Information
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NPI Number | 1811180623
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Entity Type | Organization
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Legal Business Name | TAYLOR AND BALL ORTHOPEDIC CLINIC PA
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Dates
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Enumeration Date | 08/24/2007
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Last Update Date | 08/29/2007
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Provider Practice Location Address
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Address Line | 151 JEFFERSON DAVIS BLVD SUITE C
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City | NATCHEZ
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State | MS
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Zip | 39120-5140
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Country | US
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Telephone | 601-442-4893
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Fax | 601-442-0490
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Provider Business Mailing Address
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Address Line | 151 JEFFERSON DAVIS BLVD SUITE C
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City | NATCHEZ
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State | MS
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Zip | 39120-5140
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Country | US
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Telephone | 601-442-4893
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Fax | 601-442-0490
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. EUGENE E TAYLOR
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Credential | MD
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Telephone | 601-442-4893
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 05757
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License Number State | MS
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