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General NPI Number Information
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NPI Number | 1922484658
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Entity Type | Individual
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Provider Name | REBECCA F TAYLOR
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Gender | Female
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Dates
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Enumeration Date | 08/04/2015
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Last Update Date | 08/04/2015
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Provider Practice Location Address
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Address Line | 10 WOODSTOCK AVE
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City | RUTLAND
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State | VT
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Zip | 05701-3514
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Country | US
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Telephone | 802-773-6980
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 281
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City | BRIDGEWATER
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State | VT
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Zip | 05034-0281
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Country | US
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Telephone |
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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 | 033.0112984
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License Number State | VT
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