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General NPI Number Information
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NPI Number | 1881220010
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Entity Type | Individual
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Provider Name | TAYLOR LEE HOWELL ND
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Gender | Female
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Dates
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Enumeration Date | 03/19/2020
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Last Update Date | 03/19/2020
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Provider Practice Location Address
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Address Line | 4646 N SHALLOWFORD RD
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City | ATLANTA
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State | GA
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Zip | 30338-6308
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Country | US
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Telephone | 941-809-0766
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Fax |
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Provider Business Mailing Address
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Address Line | 290 JULIE RD
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City | TYRONE
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State | GA
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Zip | 30290-2117
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Country | US
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Telephone | 941-809-0766
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 60905872
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License Number State | WA
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