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Individual
DR. TANAKA TAYLOR
Active
Individual
DR. TANAKA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6108TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11616024
CAQH
—
Enumeration date
02/21/2006
Last updated
01/21/2016
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