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General NPI Number Information
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NPI Number | 1972645356
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Entity Type | Individual
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Provider Name | PERRY D TAYLOR JR. PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 419 FINZER ST #109
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City | LOUISVILLE
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State | KY
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Zip | 40203-2400
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Country | US
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Telephone | 502-562-3133
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Fax |
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Provider Business Mailing Address
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Address Line | 419 FINZER ST #109
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City | LOUISVILLE
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State | KY
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Zip | 40203-2400
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Country | US
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Telephone | 502-562-3133
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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 | 0202206730
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License Number State | VA
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