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General NPI Number Information
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NPI Number | 1093723710
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Entity Type | Individual
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Provider Name | MARTHA W TAYLOR CNS
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Gender | Female
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 05/19/2010
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Provider Practice Location Address
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Address Line | 108 LINWOOD AVE
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City | NORTH BELLMORE
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State | NY
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Zip | 11710-2409
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Country | US
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Telephone | 516-221-8924
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Fax | 516-783-8246
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Provider Business Mailing Address
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Address Line | 108 LINWOOD AVE
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City | NORTH BELLMORE
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State | NY
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Zip | 11710-2409
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Country | US
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Telephone | 516-221-8924
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Fax | 516-783-8246
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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 | 364SP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | 305202
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License Number State | NY
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