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General NPI Number Information
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NPI Number | 1952169195
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Entity Type | Individual
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Provider Name | TAYLOR MARIE ERNE DDS
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Gender | Female
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Dates
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Enumeration Date | 03/12/2024
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 8200 AVERY RD
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City | BROADVIEW HEIGHTS
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State | OH
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Zip | 44147-1662
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Country | US
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Telephone | 440-526-4866
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Fax |
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Provider Business Mailing Address
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Address Line | 4924 ROYALWOOD RD
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City | NORTH ROYALTON
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State | OH
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Zip | 44133-4017
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Country | US
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Telephone | 440-897-8452
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 30.027980
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License Number State | OH
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