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Individual
PRENTISS B TAYLOR
Active
Individual
PRENTISS B TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01059715A
IN
207R00000X
Internal Medicine Physician
Primary
036-058964
IL
207R00000X
Internal Medicine Physician
04-37501
KS
207R00000X
Internal Medicine Physician
2014029944
MO
207R00000X
Internal Medicine Physician
24029
MS
207R00000X
Internal Medicine Physician
28097
NE
207R00000X
Internal Medicine Physician
301696
LA
207R00000X
Internal Medicine Physician
37632
AZ
207R00000X
Internal Medicine Physician
51482
TN
207R00000X
Internal Medicine Physician
59992
MN
207R00000X
Internal Medicine Physician
9123410-1205
UT
207R00000X
Internal Medicine Physician
E-12633
AR
207R00000X
Internal Medicine Physician
G86930
CA
207R00000X
Internal Medicine Physician
MD-42030
IA
207R00000X
Internal Medicine Physician
Q3298
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036058964
LICENSE NUMBER
IL
Enumeration date
06/04/2008
Last updated
12/16/2022
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