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Individual
DR. JILL ANN TAYLOR
Active
Individual
DR. JILL ANN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
710959498
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00462J
MEDICARE PTAN
TX
01
—
0049DF
BLUE CROSS BLUE SHIELD
TX
01
—
2044695
AETNA
TX
01
—
3342691
BLUE CROSS BLUE SHIELD HM
TX
01
—
8M1980
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/20/2006
Last updated
10/18/2016
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