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General NPI Number Information
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NPI Number | 1063135911
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Entity Type | Individual
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Provider Name | BRITTANI NICOLE TAYLOR STNA
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Gender | Female
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Dates
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Enumeration Date | 09/26/2022
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Last Update Date | 09/26/2022
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Provider Practice Location Address
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Address Line | 560 OAK CIR SW
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City | WARREN
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State | OH
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Zip | 44485-3462
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Country | US
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Telephone | 724-815-1182
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Fax |
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Provider Business Mailing Address
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Address Line | 560 OAK CIR SW
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City | WARREN
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State | OH
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Zip | 44485-3462
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Country | US
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Telephone | 724-815-1182
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 402220701119
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 402220701119
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License Number State | OH
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