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General NPI Number Information
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NPI Number | 1093509689
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Entity Type | Individual
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Provider Name | TAYLOR A HARRISON NP
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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 | 11/13/2025
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Provider Practice Location Address
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Address Line | 847 VETERANS MEMORIAL HIGHWAY
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City | BLANCHARD
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State | OK
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Zip | 73010
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Country | US
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Telephone | 405-597-2007
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Fax | 949-864-3767
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Provider Business Mailing Address
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Address Line | 847 E VETERANS MEMORIAL HIGHWAY
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City | BLANCHARD
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State | OK
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Zip | 73010
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Country | US
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Telephone | 405-597-2007
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Fax | 949-864-3767
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 222175
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License Number State | OK
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