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Individual
DR. TIMOTHY OSBORN TAYLOR
Active
Individual
DR. TIMOTHY OSBORN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
M5782
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000012701
CMS NORIDIAN ADM SERVICES
UT
01
—
0004082
BLUE SHIELD
ID
05
—
804289600
—
ID
01
—
DI379
BLUE CROSS
ID
Enumeration date
08/13/2006
Last updated
01/15/2012
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