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General NPI Number Information
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NPI Number | 1982011524
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Entity Type | Individual
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Provider Name | RANDI TAYLOR
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Gender | Female
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Dates
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Enumeration Date | 07/15/2014
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Last Update Date | 07/15/2014
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Provider Practice Location Address
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Address Line | 130 SARBER LN
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City | MANHATTAN
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State | KS
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Zip | 66502-5002
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Country | US
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Telephone | 785-776-0060
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Fax | 785-587-1725
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Provider Business Mailing Address
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Address Line | 130 SARBER LN
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City | MANHATTAN
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State | KS
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Zip | 66502-5002
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Country | US
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Telephone | 785-776-0060
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Fax | 785-587-1725
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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 | 1-14947
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 13443
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License Number State | NE
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