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General NPI Number Information
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NPI Number | 1952233124
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Entity Type | Individual
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Provider Name | TAYLOR ELIZABETH DEHAVEN DMD
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Gender | Female
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Dates
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Enumeration Date | 06/02/2026
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Last Update Date | 06/02/2026
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Provider Practice Location Address
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Address Line | 2805 HIGHWAY 90 STE 1
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City | GAUTIER
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State | MS
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Zip | 39553-5113
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Country | US
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Telephone | 228-497-2424
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Fax |
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Provider Business Mailing Address
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Address Line | 1208 KING HENRY DR
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City | OCEAN SPRINGS
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State | MS
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Zip | 39564-3410
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Country | US
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Telephone | 540-326-5408
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 112707
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License Number State | MS
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