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Individual

RANDOLPH H TAYLOR

Active
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Individual

RANDOLPH H TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
013943
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1330744
—
LA
01
—
H09001
VANTAGE HEALTH PLAN,INC
LA
Enumeration date
06/16/2005
Last updated
02/11/2014
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