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NPI Code Detail

MEDICARE: DR. MEREDITH L TAYLOR M.D.

MEDICARE:  DR. MEREDITH L TAYLOR  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician01066352AIN
2207R00000XInternal Medicine Physician01066352AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000620986OTHERINANTHEM
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013128693
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MEREDITH L TAYLOR M.D.
Provider Business Mailing Address
First Line : PO BOX 775985
Second Line :
City : CHICAGO
State : IL
Zip : 60677-5985
Country : US
Telephone Number : 317-770-6900
Fax Number : 317-770-6911
Provider Business Practice Location Address
First Line : 14540 PRAIRIE LAKES BLVD N
Second Line : SUITE 102
City : NOBLESVILLE
State : IN
Zip : 46060-4366
Country : US
Telephone Number : 317-770-9353
Fax Number : 317-770-9358
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2007
Last Update Date : 04/03/2023

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Directions to “ DR. MEREDITH L TAYLOR M.D.” Practice Location

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