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General NPI Number Information
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NPI Number | 1851959076
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Entity Type | Individual
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Provider Name | TAYLOR JARED SUTTON DMD
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Gender | Male
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Dates
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Enumeration Date | 06/03/2019
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Last Update Date | 10/31/2025
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Provider Practice Location Address
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Address Line | 18 DOWLING VILLAGE BLVD
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City | NORTH SMITHFIELD
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State | RI
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Zip | 02896-8267
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Country | US
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Telephone | 401-762-1919
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Fax |
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Provider Business Mailing Address
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Address Line | 50 PARK ROW W APT 423
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City | PROVIDENCE
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State | RI
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Zip | 02903-1147
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Country | US
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Telephone | 973-641-6119
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DSO43910
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License Number State | PA
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