Basic Information
Provider Information
NPI: 1710023866
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TAYLON
FirstName: ALAIN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 642117
Address2:  
City: OMAHA
State: NE
PostalCode: 681648117
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 7710 MERCY RD STE 426
Address2:  
City: OMAHA
State: NE
PostalCode: 681242323
CountryCode: US
TelephoneNumber: 4027173636
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/29/2007
LastUpdateDate: 07/11/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RE0101X14012NEY Allopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism

No ID Information.


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