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General NPI Number Information
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NPI Number | 1871002741
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Entity Type | Individual
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Provider Name | TAYLOR ROOD
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Gender | Female
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Dates
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Enumeration Date | 09/23/2017
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Last Update Date | 05/24/2019
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Provider Practice Location Address
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Address Line | 6430 KIRKVILLE RD STE 5
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City | EAST SYRACUSE
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State | NY
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Zip | 13057
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Country | US
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Telephone | 315-437-7305
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Fax |
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Provider Business Mailing Address
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Address Line | 5229 OLD ONEIDA RD APT 4
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City | VERONA
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State | NY
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Zip | 13478-2128
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Country | US
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Telephone | 315-225-4450
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | I063477
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License Number State | NY
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