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General NPI Number Information
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NPI Number | 1871888487
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Entity Type | Individual
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Provider Name | TAYLOR LAUREN MADER M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/10/2011
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 210 OVERLAND DR
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City | GREENWOOD
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State | SC
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Zip | 29646-4069
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Country | US
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Telephone | 864-330-2054
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 31665
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City | CHARLOTTE
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State | NC
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Zip | 28231-1665
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Country | US
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Telephone | 843-793-6980
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Fax | 864-278-0526
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 38780
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License Number State | SC
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