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General NPI Number Information
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NPI Number | 1114587482
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Entity Type | Individual
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Provider Name | CHRISTOPHER GLENN TAYLOR DNP-FNP
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Gender | Male
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Dates
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Enumeration Date | 06/18/2019
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 175 N MEDICAL DR
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City | SALT LAKE CITY
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State | UT
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Zip | 84112-1103
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Country | US
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Telephone | 801-585-7575
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Fax |
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Provider Business Mailing Address
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Address Line | 175 N MEDICAL DR
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City | SALT LAKE CITY
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State | UT
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Zip | 84112-1103
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Country | US
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Telephone | 801-585-7575
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 9423301-4409
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 163WN0800X
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Taxonomy Name | Neuroscience Registered Nurse
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License Number | 9423301-3102
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License Number State | UT
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