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1295091544
TIMOTHY TAXTER
CHICAGO, IL
NPI
1295091544
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2012-04-11
Last Update Date
2012-04-11
Business Address
-- TIMOTHY TAXTER M.D.
1740 WEST TAYLOR STREET
CHICAGO, IL 60612
Phone number: 866-600-2273
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Mailing Address
-- TIMOTHY TAXTER M.D.
13 MASON ST
FALMOUTH, ME 04105
Phone number: 207-766-6416
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