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NPI Code Detail

MEDICARE: DR. PEYTON TAYLOR FAIR MD

MEDICARE: DR. PEYTON TAYLOR FAIR MD
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
1207R00000XInternal Medicine PhysicianMT236142PA

General Provider Information

NPI Number : 1104768084
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PEYTON TAYLOR FAIR MD
Provider Business Mailing Address
First Line : 801 OSTRUM ST STE 1
Second Line :
City : BETHLEHEM
State : PA
Zip : 18015-1065
Country : US
Telephone Number : 866-785-8537
Fax Number :
Provider Business Practice Location Address
First Line : 1872 ST LUKES BLVD
Second Line :
City : EASTON
State : PA
Zip : 18045-5669
Country : US
Telephone Number : 866-785-8537
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2026
Last Update Date : 04/08/2026

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Directions to “ DR. PEYTON TAYLOR FAIR MD” Practice Location

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