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Individual
AMANDA T TAYLOR
Active
Individual
AMANDA T TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
103837
NC
363A00000X
Physician Assistant
Primary
103837
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10387
LICENSE
NC
Enumeration date
08/29/2006
Last updated
09/25/2026
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