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Individual
WILLIAM CLIFFORD TAYLOR
Active
Individual
WILLIAM CLIFFORD TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0038162
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
072831400
—
MD
01
—
114518
COVENTRY
MD
01
—
52412402
BLUE CROSS BLUE SHIELD
MD
01
—
G1130001
BLUE CHOICE
MD
Enumeration date
10/04/2006
Last updated
03/18/2013
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