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General NPI Number Information
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NPI Number | 1841396934
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Entity Type | Organization
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Legal Business Name | DRS. PHILLIPS, TODD & TAYLOR PC
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2034 PATTON CHAPEL RD
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City | BIRMINGHAM
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State | AL
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Zip | 35216-5770
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Country | US
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Telephone | 205-979-9480
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Fax | 205-979-9756
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Provider Business Mailing Address
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Address Line | 2034 PATTON CHAPEL RD
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City | BIRMINGHAM
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State | AL
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Zip | 35216-5770
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Country | US
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Telephone | 205-979-9480
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Fax | 205-979-9756
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Authorized Official
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Title or Position | ORTHODONTIST
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Name | DR. MARK A TODD
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Credential | DMD
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Telephone | 205-979-9480
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 4818
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 3898
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 4115
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License Number State | AL
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