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Individual
DR. CHARLES WADE TAYLOR
Active
Individual
DR. CHARLES WADE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
14470
OK
207RH0003X
Hematology & Oncology Physician
15268
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
331740YV6N
MEDICARE PTAN
OK
Enumeration date
06/13/2006
Last updated
05/01/2015
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