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General NPI Number Information
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NPI Number | 1023017043
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Entity Type | Individual
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Provider Name | SUSAN G TAYLOR RN, ARNP, CRNA
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Gender | Female
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Dates
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Enumeration Date | 07/20/2005
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Last Update Date | 12/17/2020
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Provider Practice Location Address
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Address Line | 1020 SAMISH WAY
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City | BELLINGHAM
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State | WA
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Zip | 98229-3104
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Country | US
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Telephone | 425-231-5293
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2329
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City | MOUNT VERNON
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State | WA
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Zip | 98273-7329
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Country | US
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Telephone | 509-529-9876
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Fax | 509-593-5024
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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 | 23815
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN00105586
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RNA-340
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License Number State | ID
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Taxonomy #4
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | AP30005906
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License Number State | WA
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