Provider Information for 1083746127
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Mr. PETER J TAYLOR
Sex: Male
NPI: 1083746127
Last Updated: 2007-07-09
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1083746127 | ||||||||
| Enumeration Date | 2007-03-12 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1351 NEWTOWN PIKE LEXINGTON, KY 40511-1217 United States Phone: 859-253-1686 | Fax:859-254-2743 | ||||||||
| Primary Practice Address | 600 OLD FRANKFORT CIR LEXINGTON, KY 40510-9689 United States Phone: 859-253-1686 | Fax:859-254-2743 | ||||||||
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