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General NPI Number Information
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NPI Number | 1831607746
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Entity Type | Individual
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Provider Name | TAYLOR HOLT
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Gender | Female
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Dates
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Enumeration Date | 01/12/2018
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Last Update Date | 12/26/2025
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Provider Practice Location Address
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Address Line | 2207 BONTERRA BLVD
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City | INDIAN TRAIL
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State | NC
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Zip | 28079-5728
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Country | US
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Telephone | 980-333-1758
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Fax |
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Provider Business Mailing Address
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Address Line | 510 BILLINGSLEY RD
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City | CHARLOTTE
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State | NC
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Zip | 28211-1010
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Country | US
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Telephone | 980-333-1758
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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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 | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | 0010-07829
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License Number State | NC
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