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General NPI Number Information
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NPI Number | 1942245121
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Entity Type | Organization
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Legal Business Name | W.W. TAYLOR, JR, M.D., P.C.
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Dates
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Enumeration Date | 06/19/2006
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Last Update Date | 02/02/2010
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Provider Practice Location Address
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Address Line | 1755 KIRBY PKWY SUITE 100
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City | MEMPHIS
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State | TN
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Zip | 38120-8300
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Country | US
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Telephone | 901-758-0112
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Fax | 901-758-2276
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Provider Business Mailing Address
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Address Line | 1755 KIRBY PKWY SUITE 100
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City | MEMPHIS
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State | TN
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Zip | 38120-8300
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Country | US
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Telephone | 901-758-0112
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Fax | 901-758-2276
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Authorized Official
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Title or Position | OWNER
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Name | WILLIAM W TAYLOR JR.
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Credential | M.D.
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Telephone | 901-758-0112
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | 6297
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License Number State | TN
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