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General NPI Number Information
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NPI Number | 1851506430
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Entity Type | Organization
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Legal Business Name | DONOVAN D TAYLOR MD PA
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 04/15/2008
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Provider Practice Location Address
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Address Line | 250 NW 183RD ST
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City | MIAMI
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State | FL
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Zip | 33169-4462
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Country | US
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Telephone | 305-655-0702
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Fax | 305-655-0845
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Provider Business Mailing Address
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Address Line | 250 NW 183RD ST
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City | MIAMI
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State | FL
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Zip | 33169-4462
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Country | US
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Telephone | 305-655-0702
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Fax | 305-655-0845
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DONOVAN TAYLOR
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Credential | MD
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Telephone | 305-655-0702
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME70791
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License Number State | FL
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