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General NPI Number Information
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NPI Number | 1003600529
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Entity Type | Individual
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Provider Name | TAYLOR CULLEY FNP-C
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Gender | Female
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Dates
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Enumeration Date | 04/08/2025
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Last Update Date | 09/21/2025
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Provider Practice Location Address
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Address Line | 123 MAIN ST STE B101
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City | EVANSVILLE
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State | IN
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Zip | 47708-2400
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Country | US
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Telephone | 812-492-5715
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Fax |
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Provider Business Mailing Address
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Address Line | 1826 TANGLEWOOD DR
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City | MOUNT VERNON
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State | IN
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Zip | 47620-8213
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Country | US
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Telephone | 812-205-3995
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 28262775A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 71017079A
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License Number State | IN
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